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患者,女,36岁。1989年1月29日入院。主诉发热伴寒战、头痛、关节及肌肉疼。查体:腹部、背部、面颊、四肢、皮下脂肪组织中出现众多致密结节。胫前浮肿,结膜出血。心率快,心电示心脏有广泛异常改变,C反应蛋白强阳性,胆固醇3.65mmol/L,磷脂类58.12mmol/L, 三酸甘油脂1.49 mmol/L,电解质正常。皮下结节活检为脂膜炎组织病象。临床诊断为系统型结节性脂膜炎。用强的松龙治疗由60mg/日增至150mg/日,同时给予输血、广谱抗生素及心血管药物等治疗,病情一度好转。但于入院后近2个月病
Patient, female, 36 years old. January 29, 1989 admitted to hospital. Chief complaint fever chills, headache, joint and muscle pain. Physical examination: abdomen, back, cheeks, limbs, subcutaneous adipose tissue in many dense nodules. Anterior tibia edema, conjunctival hemorrhage. Heart rate, ECG showed a wide range of abnormal changes in the heart, C-reactive protein strong positive, cholesterol 3.65mmol / L, phospholipids 58.12mmol / L, triglyceride 1.49mmol / L, electrolyte normal. Subcutaneous nodules biopsy for the panniculitis tissue disease. Clinical diagnosis of systemic nodular panniculitis. With prednisolone treatment increased from 60mg / day to 150mg / day, while giving blood transfusion, broad-spectrum antibiotics and cardiovascular drugs and other treatment, the condition was improved. But nearly 2 months after admission sick