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本文报告5例成年人急性发热性皮肤粘膜淋巴结综合征(简称M L N S)。临床资料: 本组5例患者临床表现见附表,均符合日本M L N S研究委员会1974年修订的诊断标准。发病季节为8～11月。讨论: MLNS病因尚未明确,本组5例除例1直接因M L N S住院外,其余4例都因其它疾病住院,在住院期间发生,发病在例1住院之后,发病时间和地点比较集中,考虑是一种传染性疾病。本病无特效疗法,刘氏提出用激素治疗有效。本组有2例在服用强的松期间发生,提示激素不能防止本病的发生。 3例曾鼻衄,因患者在唇、口腔及咽粘膜充血同时,也有鼻粘膜充血及干燥,而致鼻衄。 5例中有3例曾做肥达氏试验,3例无伤寒病
This article reports 5 adults with acute febrile mucocutaneous lymph node syndrome (M L N S). Clinical data: The clinical manifestations of 5 patients in this group are shown in the attached table, which are in line with the revised diagnostic criteria of M L N S Research Committee of Japan in 1974. The season of onset is from August to November. Discussion: MLNS etiology is not yet clear, the group of 5 patients in addition to a direct MLNS hospital, the remaining 4 were hospitalized due to other diseases occurred during hospitalization, the incidence of hospitalization in Example 1, the onset time and place more focused, consider the A contagious disease. No cure for this disease, Liu proposed hormone therapy effective. Two patients in this group occurred during the use of prednisone, suggesting that the hormone can not prevent the occurrence of the disease. 3 cases had had epistaxis, due to patients with lip, oral and pharyngeal mucosal congestion at the same time, there are congestion and dry nasal mucosa, which caused by epistaxis. Three of the five cases had a Wadal’s test and three had no typhoid fever