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毛细胞白血病是一种少见的白血病。起病隐袭,临床表现无特异性。本文报道一例,误诊长达9年。病例:男,28岁。于1982年发现脾脏进行性肿大达脐下,伴血小板减少、皮肤粘膜出血,于次年在某医院行脾切除术。术后症状消失,血小板迅速恢复正常。脾脏病理学检查为“淤血性脾大”。1985年起反复高热,每次持续达2月之久,多次住某医院,先后诊断为肝脓疡、肝结核、胆道感染、败血症等,经多种抗生素治疗效果不明显。1988年于左颈部出现无痛性皮疹,活检为“结核性”,但抗结核治疗无效。以后左上肢及两下肢相继出现同样皮疹。1991年5月9日住入我院。体检:一般状况
Hairy cell leukemia is a rare leukemia. Insidious onset, non-specific clinical manifestations. This article reports a case of misdiagnosis up to 9 years. Case: Male, 28 years old. In 1982 found splenomegaly progressive enlargement of the umbilicus, with thrombocytopenia, skin and mucous membrane bleeding, the next year in a hospital for splenectomy. Postoperative symptoms disappeared, platelets quickly returned to normal. Spleen pathological examination as “congestive splenomegaly.” Repeated high fever since 1985, each lasting up to 2 months long, many times live in a hospital, has diagnosed as liver abscess, liver tuberculosis, biliary tract infections, sepsis, etc., by a variety of antibiotic treatment effect is not obvious. In 1988 there was a painless rash in the left and neck, biopsy as “tuberculous”, but anti-TB treatment ineffective. After the left upper limb and lower extremity have the same rash. May 9, 1991 admitted to our hospital. Physical examination: general condition