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患者女性,33岁。因右眼红、肿、痛9天伴发热于1990年10月13日入院。体检:T37.8℃。神志清,精神可,痛苦面容。心律齐,率84次/分。右眼睑充血、肿胀,外上方触痛明显,局部呈结节状,质硬。球结膜充血,颞侧水肿,角膜正常,眼球各方向运动轻度受限,血WBC15.5×10~9/L,拟右眼睑蜂窝组织炎,予抗炎处理,症状无改善。入院的第3天,左眼亦出现类似症状,且双眼球轻微向鼻下方突出,运动受限。入院后第11天,双眼诸症更甚,泪腺触痛(++),同时伴有双侧腮腺、舌下腺弥漫性肿大,自觉口干异常,但无关节红、肿、痛症状。血WBC9.2～20.4×10~9/L,NO.80～0.90,L0.01～0.19,结膜囊分泌物培养及血培养均(-),血沉82～86mm/h,抗“O”250u,免疫功能测定IgG21.18～26.96g/L,IgA1.88g/L,IgM2.92～
Patient female, 33 years old. Due to the right eye red, swollen, pain nine days with fever on October 13, 1990 admission. Physical examination: T37.8 ℃. Conscious, spiritual, painful face. Qi heart rate, rate 84 beats / min. Right eyelid congestion, swelling, the top of the tenderness above the obvious, local nodular, hard. Bulbar conjunctival hyperemia, temporal edema, normal cornea, mild eye movement restrictions in all directions, blood WBC15.5 × 10 ~ 9 / L, to be right eyelid cellulitis, to anti-inflammatory treatment, no improvement in symptoms. On the third day of hospital admission, similar symptoms appeared in the left eye, and the eyes of both eyes protruded slightly below the nose with limited movement. On the 11th day after admission, the eyes were more severe and tenderness of the tear gland (++) was accompanied by bilateral parotid gland and diffuse enlargement of the sublingual gland. Conscious dry mouth was abnormal, but no joint redness, swelling and pain were found. Blood WBC 9.2 ~ 20.4 × 10 ~ 9 / L, NO.80 ~ 0.90, L0.01 ~ 0.19, conjunctival sac secretions culture and blood culture were (-), ESR 82 ~ 86mm / h, anti “O” 250u , Immune function determination IgG21.18 ~ 26.96g / L, IgA1.88g / L, IgM2.92 ~