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(病例见本刊2012年第6期彩页)初步诊断:周期性发热(克罗恩病可能性大),肠道蛔虫病,体重低下。应做检查:胶囊胃镜、全消化道钡餐,胸部CT、骨髓细胞学等检查、24h尿香草苦杏仁酸测定(VMA)、血EB病毒DNA检查。患者检查结果如下:胶囊胃镜示小肠黏膜弥漫苍白、肿胀、糜烂、多个溃疡形成,多为大溃疡,较表浅。全消化道钡餐正常。胸部CT正常。骨髓象:刺激性骨髓象,见3%幼稚细胞,偶见分类不明细胞。24h尿VMA正常。血EB病
(See the case of cases 2012 sixth issue color pages) Preliminary diagnosis: periodic fever (Crohn’s disease is likely), intestinal ascariasis, low body weight. Should be checked: capsule gastroscopy, barium meal of the whole digestive tract, chest CT, bone marrow cytology and other tests, 24 hours urinary vanillin mandelic acid determination (VMA), blood EB virus DNA test. The results of the patient examination are as follows: The small intestine mucosa of the capsule shows diffuse pale, swollen, erosive and multiple ulcers, mostly large ulcers, superficial. The whole digestive tract barium meal normal. Chest CT is normal. Bone marrow: irritating bone marrow, see 3% naive cells, occasionally unclassified cells. 24h urine VMA normal. Blood EB disease