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例1 林××,男,39岁,住院号27329。1980年5月23日入解放军196医院。自述1980年3月体检时,被发现腹股沟部可扪及黄豆大淋巴结数个,心肺未发现异常,腹软,肝脾未触及。胸透及照片发现两肺门有土豆形大阴影,疑为“结核病”,曾在本院进行血液生化、大小便、痰等检查,结果均正常。患者也无任何不适。后作右侧腹股沟淋巴结活检,病理报告:呈结节状,上皮细胞和巨细胞较多,炎症细胞少,无干酪样变,诊断为结节病。1980年4月曾请广州军区总医院会诊,确诊为结节病,用强的松30毫克/日治疗,一个月后复查,肺门淋巴结阴影明显缩小。5月下旬两上下肢内侧皮肤出现粟粒片状红色丘疹,瘙痒,无水疱及溃疡,化验:血沉8毫米/第一小时,肝功能:谷丙转氨酶
Example 1 Lin × ×, male, 39 years old, hospital number 27329. May 23, 1980 into the People’s Liberation Army 196 Hospital. Read the medical examination in March 1980, was found in the inguinal palpable large number of nodes and soybean, heart and lungs found no abnormalities, abdominal soft, liver and spleen not touched. Chest X-ray and photo found that the two hives have potato-shaped large shadow, suspected “tuberculosis”, had in our hospital blood biochemistry, urine, sputum and other tests, the results were normal. Patients without any discomfort. After the right inguinal lymph node biopsy, pathology report: nodular, epithelial cells and giant cells, inflammatory cells less, no case-like change, the diagnosis of sarcoidosis. April 1980 Guangzhou Military Region General Hospital has been asked for consultation, diagnosis of sarcoidosis, with prednisone 30 mg / day treatment, a month after the review, hilar lymph node shadow was significantly reduced. In late May both miliary flaky papules, pruritus, no blisters and ulcers appeared on the medial and lateral veins of upper and lower extremities. Assay: Erythrocyte sedimentation rate 8 mm / first hour, liver function: alanine aminotransferase