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婴儿骨皮质增生症是婴儿期少见的一种疾病。今将本病误诊为坏血病的1例,报道如下。男孩,50天,住院号:249171。13天前因不明原因发热(39℃),哭闹,翌日出现四肢屈曲、发硬、不活动,触之哭闹而入院。查体:体温37.8℃,呼吸30次/分,脉搏140次/分。发育营养中等,贫血面容。心、肺、腹未见异常。四肢屈曲,触痛明显,被动运动时则哭闹不止。关节无红肿,但两足背及踝部呈可凹性水肿。血红蛋白7.5克。白细胞38,000/立方毫米,中性粒细胞60％,嗜酸性粒细胞2％,淋巴细胞38％。诊为坏血病。X线摄片两上、下肢符合坏血病改变,但给予维生素C治疗后,症状无明显好转。二十天后第二次X线摄片示四肢管状骨对称性骨膜增生,干骺端密度低,考
Cortical hyperplasia in infants is a rare disease in infancy. Now this disease misdiagnosed as scurvy in 1 case, reported as follows. Boy, 50 days, Hospitalization number: 249171.13 Fever (39 ℃) Fever for unknown reasons, crying, limbs flexion, stiffening, inactivity, crying and admitted to hospital the next day. Physical examination: body temperature 37.8 ℃, breathing 30 beats / min, pulse 140 beats / min. Development of moderate nutrition, anemia. Heart, lung, abdomen no exception. Flexion limbs, tenderness significantly, passive movement is more than crying. Joints without swelling, but bipedal and ankle was concave edema. Hemoglobin 7.5 grams. 38,000 per cubic millimeter of leukocytes, 60% of neutrophils, 2% of eosinophils and 38% of lymphocytes. Diagnosis as scurvy. X-ray two on the lower limbs with scurvy changes, but given vitamin C treatment, no significant improvement in symptoms. Twenty days after the second X-ray showed symmetrical periosteal tubular bone hyperplasia, metaphyseal density is low, test