药物性肝炎误诊为病毒性肝炎【例1】杨××,女性,52岁。低热乏力、纳差伴恶心呕吐、黄疸、皮疹3日入院。有肩周炎史两年。否认有肝病史。其女患“乙型肝炎”1个月,正在治疗中。入院检查:体温:37.8℃,一般情况尚可,全身皮肤粘膜明显黄染,散在有暗红色粟粒状丘疹。心肺检查无病理体征。腹软,肝肋下2厘米,质中等,无明显触痛,脾未触及。实验室检查:血白细胞11000个/立方毫米,中性粒细胞68％,淋巴细胞24％,嗜酸性 Drug-induced hepatitis misdiagnosed as viral hepatitis [Example 1] Yang × ×, female, 52 years old. Low fever, anorexia with nausea and vomiting, jaundice, rash 3 admitted. A history of frozen shoulder for two years. Denied a history of liver disease. The woman suffering from “hepatitis B” 1 month, is under treatment. Admission examination: body temperature: 37.8 ℃, the general situation is acceptable, the body clear skin and mucous membranes yellow dye, scattered with dark red miliary papules. Cardiopulmonary examination without pathological signs. Abdomen soft, liver ribs 2 cm, medium quality, no obvious tenderness, spleen not touched. Laboratory tests: 11,000 blood cells / mm3, 68% of neutrophils, 24% of lymphocytes, eosinophilic