患者赵某,男,14岁。主因全身乏力,食欲不振5年,近十天来病情加重,全身衰竭状,口渴,四肢无力,运动障碍而收住院。患儿自幼身体素质较差,身材矮小瘦弱,佝偻病体征明显,曾诊断为佝偻病,侏儒症等病,给以相应的治疗,但身体状况一直未见改善。尤其是5年前,患儿突然食欲下降,口干,乏力,日渐消瘦,但无发烧及盗汗,当地诊断为肺结核,给抗痨治疗两年, Patient Zhao, male, 14 years old. Mainly due to malaise, loss of appetite for 5 years, the past ten days to aggravate, systemic failure, thirst, limb weakness, movement disorders and admitted to hospital. Children with poor physical health, short stature, obvious signs of rickets, had diagnosed as rickets, dwarfism and other diseases, to the appropriate treatment, but the physical condition has not been improved. Especially five years ago, children with sudden loss of appetite, dry mouth, fatigue, weight loss, but no fever and night sweats, the local diagnosis of tuberculosis, anti-tuberculosis treatment for two years,