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韩-薛-柯氏症(Hand-Schuller-Christian’s disease)属代谢性网状细胞增生症,是组织细胞增生症X(Histiocytosis X)的一种。国内1952年后陆续有少数病例报告,但多为幼儿,成人较少,现将我院收治一例成人病例报告如下。男,24岁,因头痛、眼球突出2年半入院。起病为右颞侧头痛,2个月后右眼胀痛,1年以后头痛加剧,常需服去痛片,且右眼球逐渐突出,视物模糊,右上下眼睑浮肿;随后出现多饮多尿,一昼夜达5000ml以上,遂来诊。家族中无同样患者。体查:发育正常,浅表淋巴结不大,右眼球结膜充血,瞳孔两侧等大同圆,右眼球轻度凸出,眼球凸出度眶距105mm,左眼15mm,右眼17mm,视力双侧正常,眼底正常,右颞
Hand-Schuller-Christian’s disease is a metabolic reticulocyte hyperplasia that is a form of histiocytosis X. Domestic after 1952 there are a few cases reported, but mostly young children, adults less now admitted to our hospital an adult case report is as follows. Male, 24 years old, due to a headache, prominent 2 and a half years hospitalization. The onset of right temporal headache, right eye pain after 2 months, 1 year after the headache worsened, often required to take to the painkiller film, and the right eye gradually prominent, blurred vision, upper right and lower eyelid edema; Urine, up to 5000ml a day and night, then came to the clinic. There are no patients in the family. Physical examination: normal development, small superficial lymph nodes, conjunctival hyperemia in the right eye, both sides of the pupil and other Datong circle, right eyeball slightly convex, eyeball protrusion orbital distance 105mm, left eye 15mm, right eye 17mm, visual acuity Normal, normal eyes, right temporal