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疑难病例析评 第190例皮疹-发热-贫血-多发淋巴结肿大-浆细胞增多-多克隆免疫球蛋白升高

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摘要 患者女,45岁,主因“皮疹13年,发热、乏力8年,淋巴结肿大5年”于2007年4月收入中国医学科学院血液病医院。患者于1994年无明显诱因出现背部皮疹,不高出皮面,淡红色,压之不褪色,未予注意。后前胸、面部、四肢陆续出现类似皮疹。就诊于皮肤科,皮肤活检显示浆细胞增多,未予明确诊断。1999年患者开始出现发热,体温最高39℃,以午后为著,并伴有乏力,无咳嗽、盗汗、体重下降,抗感染治疗无效。2002年患者开始出现颈部淋巴结肿大,未予处理。2005年3月查血常规:
出处 《中华医学杂志》 CAS CSCD 北大核心 2009年第40期2871-2873,共3页 National Medical Journal of China
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参考文献4

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