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冷凝集素综合征又称寒冷性凝集素病。临床并非少见,但由淋巴瘤所致十分罕见。本院收治1例,现报告如下。王某,男,42岁。四肢末端及面部遇冷发绀,温暖后可消失,反复发作2月余,不规则发热伴左上腹块月余,于1979年2月26日首次入院。体检:T38℃。神清,消瘦。两腋下可触及绿豆至黄豆大小、质软、活动、无压痛的4枚淋巴结。四肢指(趾)端、面颊部、耳廊均明显发绀。巩膜无黄染,无甲状腺肿大,心肺正常。肝在右肋下1.5cm;脾大至脐平,质中;无腹壁静脉曲张及腹水
Cold agglutinin syndrome, also known as cold agglutinin disease. Clinical is not uncommon, but very rare due to lymphoma. This hospital admitted to a case, are as follows. Wang, male, 42 years old. Extremities and facial cyanosis cold, warm can disappear, repeated episodes of more than 2 months, irregular fever with left upper abdomen more than month, on February 26, 1979 first hospitalization. Physical examination: T38 ℃. God clear, weight loss. Two underarms can reach the size of green beans to soybeans, soft, activity, no tenderness of 4 lymph nodes. Extremities (toe) end, cheek, ear corridor were significantly cyanotic. Sclera no yellow dye, no goiter, normal heart and lung. Liver in the right rib 1.5cm; splenomegaly to umbilical level, quality; no abdominal varicose veins and ascites