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[例1]女,31岁,门诊号51—02477。因咳嗽、发热、面肢浮肿、四肢远端淡紫红色粟粒疹剧痒、两下肢肌肉酸痛、周围血液嗜酸性细胞46％和类风湿因子阳性,于1977年9月转来我院诊治。既往有多种药物和油漆过敏史,幼年有过一过性血尿,此后曾患肾炎,长期支扩咯血于1968年经造影证实,并从此伴左下肺不张和反复感染。家属中无类似病史。患者系居住长江岸边,为血吸虫病流行区,而非皖南山区卫氏肺吸虫病之流行区,无捕蟹和食生蟹史,无食生水和游泳史。入院检查:体温37.7℃,面肢浮肿,左肺有湿罗音,肝肋下一厘米,四肢远端皮肤有淡紫红色粟粒疹,两下肢腓肠肌压痛;白细胞13,400/立方毫米,酸性62％(绝对计数18,500/立方毫米),脑絮+++,麝浊14单位,麝絮++,锌浊19单位,丙球蛋白32.7％,
[Example 1] Female, 31 years old, outpatient number 51-02477. Due to cough, fever, facial edema, distal limbs crimson miliary rash itching, two lower extremity muscle soreness, peripheral blood eosinophils 46% and rheumatoid factor positive, in September 1977 transferred to our hospital for diagnosis and treatment. Past history of a variety of drugs and paint allergies, juvenile had a transient hematuria, had suffered from nephritis, long-term branch of hemoptysis confirmed by radiography in 1968, and from there with the left lower lung atelectasis and repeated infections. No similar family history of illness. The patient lived in the bank of the Yangtze River, the endemic area of schistosomiasis, rather than the prevalence area of Paragonimus westermani in the mountainous areas of southern Anhui. There was no history of crabs and edible crabs, no raw water and swimming history. Admission examination: body temperature 37.7 ℃, facial edema, left lung wet rales, liver ribs, a centimeter, distal limbs with light purple miliary rash, lower extremity gastrocnemius tenderness; white blood cells 13,400 / cubic mm, acid 62% ( Absolute counts of 18,500 per cubic millimeter), brainwash +++, musk turbidity 14 units, musk floss ++, zinc turbidity 19 units, globular globulin 32.7%