患者男性,45岁。因右下腹痛伴不规则发热8月余,口腔及阴囊溃疡反复发作半年余,于1995年4月13日入院。6年前,患者曾行“阑尾切除术”。否认有糖尿病病史。8月前,患者因右下腹痛、发热(体温高达39℃),大便2～3天1次,在当地医院拟为“阑尾残端糜烂,不完全性肠梗阻”行抗炎及对症处理,症状不改善,间歇高热,血糖增高,空腹血糖8.4～17.4mmol/L。 Male patient, 45 years old. Due to the right lower abdominal pain with irregular fever more than 8 months, oral and scrotal ulcer recurrent more than six months, in April 13, 1995 admission. Six years ago, the patient had an appendectomy. Denied having a history of diabetes. 8 months ago, patients with right lower quadrant pain, fever (body temperature as high as 39 ℃), stool 2 to 3 days 1 time in the local hospital to be “appendix stump erosion, incomplete intestinal obstruction” anti-inflammatory and symptomatic treatment, Symptoms do not improve, intermittent fever, elevated blood glucose, fasting blood glucose 8.4 ~ 17.4mmol / L.