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例1男,36岁。因发现耳后肿块于1974年9月就诊。肿块表面皮肤瘙痒,无发热及消瘦。体检:耳后、颈部、腋窝及肘窝淋巴结肿大如花生米,橡皮样硬、无触痛,表皮稍红,鼻咽部正常。心肺(-),肝脾(-)。血象:Hb110g/L,WBC14.7×10~9/L,中性47％、淋巴12％、嗜酸38％、单核3％、嗜酸粒细胞6.7×10~(?)/L。血小板135×10~(?)/L,SR12mm/h。胸片及心电图正常。先后行耳后淋巴结及腋窝淋巴结活检均为嗜酸性淋巴肉芽肿。以强的松40mg/日及环磷酰胺(CTX)150mg/日治疗。两个月后肿大淋巴结明显缩小,继以强的松10mg/日
Example 1 male, 36 years old. Because of the discovery of ear lumps in September 1974 treatment. Itchy skin surface, no fever and weight loss. Physical examination: Ear, neck, armpit and swollen lymph nodes such as peanut, rubber-like hard, no tenderness, epidermal slightly red, normal nasopharynx. Cardiopulmonary (-), liver and spleen (-). Blood: Hb110g / L, WBC14.7 × 10 ~ 9 / L, neutral 47%, lymphatic 12%, eosinophilic 38%, mononuclear 3%, eosinophil 6.7 × 10 ~ (?) / L. Platelets 135 × 10 ~ (?) / L, SR12mm / h. Chest radiography and normal ECG. Ear line after the lymph nodes and axillary lymph node biopsy are eosinophilic lymphogranuloma. With prednisone 40mg / day and cyclophosphamide (CTX) 150mg / day treatment. Two months after the enlarged lymph nodes was significantly reduced, followed by prednisone 10mg / day