中华风湿病学杂志
中華風濕病學雜誌
중화풍습병학잡지
CHINESE JOURNAL OF RHEUMATOLOGY
2014年
8期
538-540
,共3页
涂志华%叶华%陈适%陈定宝%栗占国
塗誌華%葉華%陳適%陳定寶%慄佔國
도지화%협화%진괄%진정보%률점국
多发性肌炎%误诊%脂膜炎,结节性非化脓性
多髮性肌炎%誤診%脂膜炎,結節性非化膿性
다발성기염%오진%지막염,결절성비화농성
Polymyositis%Diagnostic errors%Panniculitis,nodular nonsuppurative
目的 探讨并总结复发性结节性非化脓性脂膜炎的临床特点,以便早期诊断、及时治疗.方法 分析1例误诊为多发性肌炎的不典型复发性结节性非化脓性脂膜炎患者临床表现和诊疗经过.结果 复发性结节性非化脓性脂膜炎常出现皮下结节和多脏器受累表现;皮下结节不明显者需要反复查体,尽快行活检病理确诊.结论 复发性结节性非化脓性脂膜炎临床表现多样,容易误诊.认真查体,及时行病理检查有助于复发性结节性非化脓性脂膜炎的早期诊断.
目的 探討併總結複髮性結節性非化膿性脂膜炎的臨床特點,以便早期診斷、及時治療.方法 分析1例誤診為多髮性肌炎的不典型複髮性結節性非化膿性脂膜炎患者臨床錶現和診療經過.結果 複髮性結節性非化膿性脂膜炎常齣現皮下結節和多髒器受纍錶現;皮下結節不明顯者需要反複查體,儘快行活檢病理確診.結論 複髮性結節性非化膿性脂膜炎臨床錶現多樣,容易誤診.認真查體,及時行病理檢查有助于複髮性結節性非化膿性脂膜炎的早期診斷.
목적 탐토병총결복발성결절성비화농성지막염적림상특점,이편조기진단、급시치료.방법 분석1례오진위다발성기염적불전형복발성결절성비화농성지막염환자림상표현화진료경과.결과 복발성결절성비화농성지막염상출현피하결절화다장기수루표현;피하결절불명현자수요반복사체,진쾌행활검병리학진.결론 복발성결절성비화농성지막염림상표현다양,용역오진.인진사체,급시행병리검사유조우복발성결절성비화농성지막염적조기진단.
Objective To analyze the clinical features of Weber-Christian disease (WCD) and to make a review of the literature for early diagnosis and treatment.Methods The clinical features of an atypical WCD patient who had been misdiagnosed as polymyositis were analyzed.Results WCD was characterized by subcutaneous nodules and systemic symptoms.Repeating physical examination and biopsy in time were important if the nodules were not obvious.Conclusion WCD is often misdiagnosed because of the complicated clinical manifestations.Carefully physical examination and timely biopsy are help for early diagnosis.
