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结核病和风湿病都是儿童的常见病,有些病例两者的症状和体征都极为相似,但治疗原则明显不同,所以两者的鉴别非常重要。如将结核病误诊为风湿病而用激素、水杨酸类抗风湿治疗,即会造成结核病迅速恶化的严重后果。兹举两例于后。例1.女,9岁。因右髋关节疼痛,持续发热(38～39.5℃)半月余而以“风湿病”住院治疗。病程中尚有多发性、游走性关节痛,两小腿结节性
Tuberculosis and rheumatism are common childhood diseases. In some cases, the symptoms and signs of both are very similar, but the principle of treatment is obviously different, so the identification of the two is very important. If the misdiagnosis of tuberculosis as rheumatism with hormones, salicylic acid antirheumatic treatment, which will result in the serious consequences of the rapid deterioration of tuberculosis. I give two cases later. Example 1. Female, 9 years old. Due to right hip pain, persistent fever (38 ~ 39.5 ℃) more than half a month to “rheumatism” hospitalized. There are multiple in the course of disease, migratory joint pain, nodular two legs