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1 临床资料 患者,男性,13岁。1年前开始出现不规则发热,患病后5个月出现颈部及腹肚沟淋巴结肿大,双腕及右踝关节痛,类风湿因子检查阳性,诊为儿童类风湿.采用强的松15mg,阿斯匹林1.0g,1日3次达4月余。此次因再次出现不规则热、上腹痛及柏油样便而入院。入院后检查,满月脸,水牛背,左颌下淋巴结肿大,贫血,便潜血(+++),胃及十二指肠有多发性溃疡,颈部淋巴结活检为干酪性结核病变,确诊为结核性类风
1 clinical data patients, men, 13 years old. 1 year ago began to appear irregular fever, 5 months after onset of neck and abdominal belly lymph node enlargement, wrist and right ankle joint pain, rheumatoid factor positive examination, diagnosed as rheumatoid children with prednisone 15mg, aspirin 1.0g, 3 times on the 1st of more than 4 months. The recurrence of irregular heat, abdominal pain and asylum and admission. Post-hospital examination, full moon face, buffalo back, submaxillary lymph nodes, anemia, occult blood (+++), multiple ulcers in the stomach and duodenum, cervical lymph node biopsy for caseous tuberculosis, diagnosed as Tuberculous wind