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小儿结节性脂膜炎较少见,本文报告3例。例1,男,11岁。因反复发热14个月、皮肤发黄2个月而于1986年6月14日入院。1年前因持续高热、四肢与躯干部出现皮下结节,于无锡二院作皮肤活检,报告“结节性脂膜炎”。体检:恶液质病容,皮肤重度黄染,腹膨隆,肝肋下12cm,脾肋下5cm,质硬,腹水征(+)。肝功能:黄疸指数40u,总胆红质68.4μmol/L,谷丙转氨酶110u,甲胎蛋白(-)。经治疗病情不见好转而自动出院。例2,男,8岁。不规则发热20天入院。胸片“右肺门增大,淋巴结肿大,右枝气管淋巴结结核”,OT
Pediatric nodular panniculitis is rare, this article reports 3 cases. Example 1, male, 11 years old. Due to repeated fever 14 months, yellow skin 2 months and was June 14, 1986 admission. A year ago due to sustained high fever, limbs and torso appeared subcutaneous nodules, skin biopsy in Wuxi Second Hospital, reported “nodular panniculitis.” Physical examination: cachexia, severe yellowish skin, abdominal bulging, liver ribs 12cm, 5cm spleen ribs, hard, ascites (+). Liver function: jaundice index 40u, total bilirubin 68.4μmol / L, alanine aminotransferase 110u, alpha fetoprotein (-). The condition has not recovered but automatically discharged. Example 2, male, 8 years old. Irregular fever admitted to hospital for 20 days. Chest “right hilar enlargement, lymph nodes, right branch bronchial lymph node tuberculosis”, OT