免疫母细胞性淋巴结病(简称IBL),或称血管免疫母细胞性淋巴结病伴异常蛋白血症,以下简称AILD,淋巴细胞增生疾病,多发生于成人,较为罕见,现报告一例如下: 本例男,42岁,于1988年11月28日,以腹痛,呕吐、腹胀、排气排便停止6小时,诊断“肠梗阻”,急诊入院。患者一年前、经常间歇性发热、咽痛,腹股沟淋巴结肿大,曾误诊为“急性淋巴结炎”,“淋巴结核”等疾病。体检:急病容,痛苦表情,T38.2℃,咽部充血,双侧扁体Ⅱ°肿大,左侧锁骨上凹可触及3～4个 Immunoblastic lymphadenopathy (IBL), or angioimmunoblastic lymphadenopathy with anaplastic leukemia, hereinafter referred to as AILD, lymphoproliferative disease, occurs more frequently in adults, is relatively rare, a report is as follows: This case Male, 42 years old, died of abdominal pain, vomiting, abdominal distension and stool defecation for 6 hours on November 28, 1988 to diagnose intestinal obstruction and emergency admission. Patients a year ago, often intermittent fever, sore throat, inguinal lymph nodes, have been misdiagnosed as “acute lymphadenitis”, “lymph node tuberculosis” and other diseases. Physical examination: acute illness, painful expression, T38.2 ℃, pharyngeal hyperemia, bilateral flat enlargement Ⅱ °, left clavicular concave can touch 3 to 4