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本文报道一例年仅2岁的儿童干燥综合征(SS)。患儿,2岁,女,黑人。13个月时患肺炎,随后多次患上呼吸道感染,其中一次伴高热惊厥。21个月时由于第2次惊厥发作而住院。体检发现有鼻咽炎。2岁时因反复上呼吸道感染和高丙球蛋白血症转来本院。患儿呈慢性病容,体温高达39.4℃,唇干,嘴角皲裂,腮腺肿大。呼吸急促、全肺均可闻及干罗音和细湿罗音。肝轻度肿大。心脏、神经和运动系统检查无异常。实验室检查:血沉50mm/h;反应蛋白3.5mg/dl;血红蛋白7.9g/dl;血胞细压积25.7%;红胞细、白胞细及血小板计数正常。LDH627IU/L;血清铁27.6mg/dl;铁蛋白11.2ng/
This article reports a case of Sjogren’s syndrome (SS) in children as young as 2 years old. Children, 2 years old, female, black. 13 months when suffering from pneumonia, then repeatedly suffered from respiratory tract infection, one of them with febrile seizures. At 21 months, he was hospitalized for the second convulsion. Physical examination found that nasopharyngitis. 2 years old due to repeated upper respiratory tract infection and hypergammaglobulinemia transferred to our hospital. Children were chronic disease, body temperature up to 39.4 ℃, lips dry, chapped mouth, parotid gland enlargement. Shortness of breath, the whole lung can smell dry rales and fine wet rales. Liver mild swelling. Heart, nerve and motor system check no abnormalities. Laboratory tests: erythrocyte sedimentation rate 50mm / h; reactive protein 3.5mg / dl; hemoglobin 7.9g / dl; fine blood cell mass 25.7%; red blood cells, white blood cells and platelet count normal. LDH627IU / L; serum iron 27.6mg / dl; ferritin 11.2ng /