病历摘要 患者男,17岁,因间断发热3年,加重伴皮疹2月,发现血肌酐升高 8 d,腹痛 5 d,于2001年4月 25日入院。1998年3月及1999年6月,患者两次无诱因发热,体温最高40℃,在当地医院分别行左颈部及右腋下淋巴结活检,诊为“坏死性淋巴结炎”,予泼尼松40mg/d口服。1周后,体温降至正常,泼尼松渐减量,每两周减2.5～5 mg,半年后停用。2001年2 Male patient, aged 17, aged 3 years with intermittent fever and aggravating the rash in February, found that serum creatinine increased for 8 days and abdominal pain was for 5 days. He was admitted on April 25, 2001. March 1998 and June 1999, the patient twice without incentive fever, body temperature up to 40 ℃, at the local hospital left and right armpit lymph node biopsy, diagnosed as “necrotizing lymphadenitis,” prednisone 40mg / d orally. One week later, the body temperature dropped to normal, decreasing doses of prednisone, 2.5 to 5 mg every two weeks, six months after discontinuation. 2001 2