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结节性脂膜炎临床上并非罕见,但却经常误诊。现将我们所经治的6例全身型结节性脂膜炎综合分析,报道如下。临床资料一般资料6例均为男性。年龄14~48岁,病程20天~1.5年不等。全组6例入院时均误诊为其它疾病。住院后经皮下结节活检病理确诊5例,死后尸检确诊1例。6例中死亡3例,上消化道出血、颅内出血、并发肺炎及霉菌感染死亡各1例。临床表现6例均有皮下结节。多发生在下肢,少数在上肢及面颊部。数量少者1~2个,多者达20余个,从米粒至手掌大不等。结节表面皮肤呈暗红色,肿胀、疼痛,可自行消退,消退后皮肤凹陷,留
Nodular panniculitis is not uncommon in clinic, but it is often misdiagnosed. Now we go through the 6 cases of systemic nodular panniculitis comprehensive analysis, reported as follows. 6 cases of clinical data are generally male. Age 14 to 48 years old, duration of 20 days ~ 1.5 years. All 6 patients were misdiagnosed as other diseases on admission. After hospitalization, 5 cases were diagnosed by biopsy of subcutaneous nodules and 1 case was diagnosed by autopsy after death. 6 patients died in 3 cases, upper gastrointestinal bleeding, intracranial hemorrhage, pneumonia and fungal infection in 1 case of death. 6 cases of clinical manifestations have subcutaneous nodules. Occur in the lower limbs, a few in the upper extremities and cheeks. A small number of 1 to 2, more than 20, ranging from rice to the palm of your hand. Nodular surface of the skin was dark red, swelling, pain, self-subsided, subsided after the skin depression, leaving