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我院先后发现3例麻风病人,曾误诊为“脂膜炎”“雷诺氏症”“周围神经炎”而入院治疗,后经临床观察和查出麻风杆菌才确诊。为引起临床医师对本病的注意及提高诊断水平,现报道如下:【例1】许××,女,27岁,山东济宁人,住院号:122146.因四肢结节性红斑皮损四年,间断发热半年余,诊为“脂膜炎”收入院。病人17岁由山东迁入东北,四年前无何诱因,四肢出现结节性红斑,伴剧痛及痒感,在当地曾以“囊虫病”治疗,活体组织检查无阳性改变,因病情无缓解而转入我院。病理检查为“脂膜炎”并按其治疗,但症状仍未缓解,临床发现病人两眉毛脱落,全身浅表淋巴结轻度肿大,耳后、尺神经肿大不明显,右上肢温,触觉迟钝,两面颊可触及2～3个直径约0.2～0.3厘米大小不等的褐色结节,部分融合粘连,
Our hospital has found three cases of leprosy patients, had misdiagnosed as “panniculitis” “Raynaud’s disease” “peripheral neuritis” and hospitalized, after clinical observation and detection of leprosy bacteria was diagnosed. To attract clinicians to pay attention to the disease and improve the diagnostic level, are reported as follows: [Example 1] Xu × ×, female, 27 years old, Shandong Jining, hospitalization number: 122146. Due to limbs and nodular erythema lesions for four years , Intermittent fever more than six months, diagnosed as “panniculitis” income hospital. 17-year-old patient moved from Shandong to the northeast, no inducement four years ago, limbs appear erythema nodosum, with severe pain and itching in the local once “Cysticercosis” treatment, biopsy no positive changes, due to illness No relief and transferred to our hospital. Pathological examination for “panniculitis” and according to their treatment, but the symptoms have not yet been alleviated, the patient found two eyebrows off the body, the body superficial lymph nodes slightly enlarged, ear ulnar nerve enlargement is not obvious, right upper limb temperature, touch Blunt, two cheeks can reach 2 to 3 diameter of about 0.2 to 0.3 cm brown nodules of varying sizes, part of the fusion adhesion,