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结核性变态反应性关节炎为一少见疾病,我科曾遇到4例,兹报道如下: [例1]李×,男,19岁。于1962年6月21日因发热、双膝关节疼痛而入院。入院当天下午先出现左膝关节疼痛,以后右膝关节相继作痛,无肿胀,活动不受限。当时诊断为凤湿性关节炎入院。既往无结核病史,从无心跳及气促。体格检查:体温38.8℃,脉搏80次/分,浅表淋巴结不肿大,两膝温度稍高,活动不受限制,生理性反射存在。实验室检查:白细胞计数6,400/立方毫米,中性粒细胞48％,淋巴细胞37％,嗜酸粒细胞13％,大单核细胞2％,血沉一小时57毫米。治疗经过:入院后曾先后给予阿司匹林、氨基比林、撒烈痛、安乃近、水杨酸钠及磺胺噻唑等治疗,两膝关节疼痛时轻时重,无明显进步,体温波动在37～39℃之间,呈不规
Tuberculous allergic arthritis is a rare disease, our department has encountered 4 cases, it is reported as follows: [Example 1] Lee ×, male, 19 years old. June 21, 1962 due to fever, knee pain and admission. Left knee pain appeared on the afternoon of admission day after the right knee joint pain, no swelling, activity is not limited. At that time diagnosed with rheumatoid arthritis hospitalization. No past TB history, no heart rate and shortness of breath. Physical examination: body temperature 38.8 ℃, pulse 80 beats / min, superficial lymph nodes not swollen, slightly higher temperature of both knees, activities are not restricted, there is physiological reflex. Laboratory tests: white blood cell count 6,400 / cubic mm, neutrophils 48%, lymphocytes 37%, eosinophils 13%, 2% of large monocytes, ESR an hour 57 mm. After treatment: Has been given aspirin, aminopyrine, stolololol, metamizol, sodium salicylate and sulfathiazole treatment, both knee pain when light weight, no significant improvement in body temperature fluctuations in 37 ~ 39 ℃, was irregular