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1 病历摘要例1,男,13岁,学生。低热,疲倦无力,周身关节痛,尤以手足关节肿痛为著,已三月余。查体;轻度贫血容,较消瘦,心肺听诊未闻及异常,肝肋下1cm,软,触痛不明显,脾肋下可及,无触痛,浅表淋巴结黄豆至蚕豆大小,轻压痛,肢体可见少许斑丘疹。手足趾指关节红肿,触痛明显。实验室检查:血沉40mm/h,抗“O”阳性,类风湿试验阳性。HLA-B_(27)阳性(抗 HLA-B_(27)血清板为上海血液中心免疫研究室产品,淋巴细胞分离液 Hanks 液自配,补体来源于兔血清)。诊断:Still氏病(活动期)。
1 case summary 1, male, 13 years old, student. Low fever, fatigue, weakness, whole body joint pain, especially in the hands and feet joint swelling and pain, has more than three months. Check the body; mild anemia, weight loss, cardiopulmonary auscultation has not heard and abnormal, liver ribs 1cm, soft, tenderness is not obvious, spleen ribs accessible, no tenderness, superficial lymph nodes soybeans to broad bean size, mild tenderness , A few macular rashes visible body. Hand toe refers to the joint swelling, tenderness significantly. Laboratory tests: ESR 40mm / h, anti-“O” -positive, rheumatoid test positive. HLA-B_ (27) positive (anti-HLA-B_ (27) serum plate Shanghai Institute of Blood Center immune laboratory products, Hanks solution from lymphocyte separation with complement from rabbit serum). Diagnosis: Still’s disease (active period).