乙型肝炎的肝外损害,国内外报道较多,但引起皮下结节目前尚无报道。现将一例急性黄疸型乙型肝炎引起皮下结节报告如下。病例摘要赵××,男,41岁.住院号:191823。于1981年6月27日入院。该患于入院前一个多月,无诱因发生双踝关节明显肿痛,其附近有少数皮下结节。按风湿症内服消炎痛和强的松治疗约半月余,关节肿痛消失,但皮下结节仍存在,并于肘、膝关节附近也发现少数皮下结节。入院前半月,明显乏力,食欲不振,厌油食,尿如茶色,以风湿症和急性黄疸型肝炎入院。体检:一般状态良好,于双侧肘、膝、踝关节附近可见数个高粱米及黄豆大小之皮下结节,移动性良好,无触痛,关节无红肿。巩膜轻度黄染,皮肤无明显黄染。心肺正常。腹软,肝上界于锁骨中线上第六肋间,肋下可触及1.5cm,质中等硬,叩 Hepatitis B extrahepatic lesions, more reports at home and abroad, but caused no reports of subcutaneous nodules. Now a case of acute jaundice caused by hepatitis B subcutaneous nodules are as follows. Case Summary Zhao × ×, male, 41 years old. Hospital number: 191823. On June 27, 1981 admission. The suffering from more than a month before admission, there was no incentive double ankle joint swelling and pain, a small number of subcutaneous nodules in the vicinity. By rheumatoid oral indomethacin and prednisone treatment for about half a month, joint swelling and pain disappeared, but the subcutaneous nodules still exist, and in the elbow, knee and found a few near the subcutaneous nodules. Half a month before admission, significant fatigue, loss of appetite, tired of oil, urine, such as brown, with rheumatoid arthritis and acute jaundice hepatitis admitted. Physical examination: The general state is good, in the bilateral elbows, knees, ankles near the visible number of sorghum and soybean size subcutaneous nodules, mobility is good, no tenderness, joint swelling. Scleral mild yellow dye, the skin no obvious yellow dye. Cardiopulmonary normal. Abdominal soft, the upper bound of the liver in the clavicle in the sixth intercostal space, rib can reach 1.5cm, medium hard, knock