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患者女,32岁,因右颈部肿块2月来院就诊。查体:T 36.5℃,P 80次/分,R 18次/分,BP 15/11kPa,咽无充血,扁桃体无肿大,右颈胸锁乳突肌前可扪及枣大质韧肿块,皮色正常,无压痛,活动度好,心肺无异常,腹部无阳性体征。化验:血常规正常,血沉 28mm/h,胸部 X线片无异常,OT 试验1:2000 20mm 水泡、1:1万16mm 水泡。经上级医院淋巴结穿刺活检病理诊断为淋巴结结核。给以异菸肼、利福平及保肝治疗,服药后渐出现面部皮肤色素沉着,呈黑褐色,皮肤变粗,但无红斑
Female patient, 32 years old, was hospitalized in February for a right-sided mass. Physical examination: T 36.5 ℃, P 80 beats / min, R 18 beats / min, BP 15 / 11kPa, pharynx without congestion, no enlargement of tonsil, right cervical sternocleidomastoid muscle palpable jujube, Skin color is normal, no tenderness, good activity, no abnormal heart and lung, no positive abdominal signs. Laboratory: normal blood, ESR 28mm / h, no abnormal chest X-ray, OT test 1: 2000 20mm blisters, 1: 1 million 16mm blisters. The superior hospital lymph node biopsy pathological diagnosis of lymph node tuberculosis. To isoniazid, rifampicin and liver protection treatment, gradually emerged after taking the skin pigmentation, dark brown, thick skin, but no erythema