韦格内氏肉芽肿是一种少见的自身免疫性疾病,临床表现复杂多样,早期诊断不易,误诊较多,我院收治一例报告如下。男患,22岁.因间断发热,反复皮肤感染.贫血半年入院.患者半年来间断发热(体温38～40℃),乏力,食量锐减,消瘦,牙龈、左眼脸及左面部、右颌下、右臀部、左下肢皮肤反复感染,疼痛难忍。当地按“蜂窝织炎”用青、链霉素治疗数月,效果欠佳。近四个月出现胸痛,咳吐白痰,偶有痰中带血.胸透诊为“肺结核”,抗痨治疗三月无效,改按“肺炎”治疗月余仍无效,且感心悸、气短.又诊断为“感染性贫血”,并出现鼻衄,神志呆滞,按“败血症”给予抗生素及激素治 Wegener’s granulomatosis is a rare autoimmune disease, complicated and diverse clinical manifestations, early diagnosis is not easy, misdiagnosis more, our hospital admitted a case report as follows. Male suffering, 22 years old. Due to intermittent fever, recurrent skin infections. Anemia in hospital for six months. Patients with intermittent fever for half a year (body temperature 38 ~ 40 ℃), fatigue, food intake plummeted, weight loss, gums, left eye face and left facial Ministry Under the right hip, left lower extremity skin repeatedly infected, pain unbearable. Local press “cellulitis” green, streptomycin treatment for several months, the effect is not good. Nearly four months of chest pain, cough and spit white sputum, occasional bloody sputum .Both chest see diagnosed as “tuberculosis”, anti-tuberculosis treatment is invalid in March, according to “pneumonia” treatment more than a month is still invalid, and feeling palpitations, shortness of breath Also diagnosed as “infectious anemia”, and appear epistaxis, sluggish mind, according to “sepsis” given antibiotics and hormone therapy