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作者在讨论中归纳以下几点: 1.5例皮肤症状完全相似,表现为如帽章状的环形荨麻疹损害,不痒,反复发生,经年累月,并非药物所致,皮质类固醇激素治疗无效。 2.全身症状:有无力、发热、中度肝肿大,多数或局部浅淋巴结肿大。较为特殊的是各例均有骨痛,其中4例X线摄片证实有象因血液病所致的作者报道5例巨球蛋白血症均有长期复发性不痒的荨麻疹、血沉增快和免疫电泳IgM增高等类似的主要特征,其主要临床发现见下表:
The authors summed up the following points in the discussion: 1.5 cases of skin symptoms are completely similar, such as the cap-like ring urticaria damage, itch, recurrent, over time, not caused by drugs, corticosteroid therapy is invalid. 2. Systemic symptoms: weakness, fever, moderate hepatomegaly, most or partial superficial lymph nodes. More specifically, each case has bone pain, of which 4 cases of X-ray confirmed as a result of blood disease caused by the authors reported 5 cases of macroglobulinemia have recurrent non-itch urticaria, ESR faster And immune electrophoresis IgM increased similar main features, the main clinical findings in the table below: