病历摘要患者男性,24岁,于1990年9月2日入院,住院号427896。患者于1990年5月中旬发现前胸和腹部皮肤出现许多小结节,如黄豆大小,无红肿,不痛不痒,并自觉有低热,当时并未引起患者注意。后皮下结节逐渐增大,数量增多,遍及全身,在当地医院病理检查报告为“发热性结节性非化脓性脂膜炎”。7月中旬开始有轻度咳嗽,无痰,渐感全身乏力,活动时呼吸困难,胸闷。8月 Medical record Summary Male patient, 24 years old, was admitted on September 2, 1990 with a hospitalization number of 427896. Patients in mid-May 1990 found many small nodules of the chest and abdomen skin, such as the size of soybeans, no swelling, no pain, and consciously have low fever, did not cause the patient’s attention. After subcutaneous nodules gradually increased, the number increased, throughout the body, in the local hospital pathology report as “fever nodular non-suppurative panniculitis.” Beginning in mid-July mild cough, no sputum, gradually feel the general body weakness, breathing difficulties during exercise, chest tightness. August