脂膜炎临床上较为少见,累及心内膜引起二尖瓣狭窄者更鲜为人知,现报道1例。 患者,男,27岁。因反复皮下结节8月,心悸、气促4月,加重伴浮肿1月于1989年4月28日入院。患者于8月前无诱因感乏力,无意中发现右股内侧皮下有一鸽蛋大小皮下结节,硬度中等,皮肤呈暗红色,压痛,数日后自行消退。继后左侧对应部位、双上肢及下颌部出现类似结节数个,蚕豆至核桃大。起病4月始感心悸、气促、胸痛、腹胀伴双下肢浮肿。既往无风湿和结核史,病前半年超声心动图检查心瓣膜无异常。体检:T38.7℃,贫血貌,双大腿 Pancreatitis is clinically rare, involving the endocardial mitral stenosis caused by less known, is reported in 1 case. Patient, male, 27 years old. Due to repeated subcutaneous nodules in August, palpitations, shortness of breath in April, increased with edema in January on April 28, 1989 admission. In August, the patient had no incentive to feel fatigue. He inadvertently found a pigeon egg with a subcutaneous nodule on the inside of the right femoral head. The hardness was medium and the skin was dark red and tender. After a few days, the patient subsided spontaneously. Followed by the left side of the corresponding parts, both upper extremities and jaw appeared similar number of nodules, broad beans to walnuts. In April onset palpitations, shortness of breath, chest pain, abdominal distension accompanied by lower extremity edema. No past history of rheumatism and tuberculosis, echocardiography six months before the disease did not check the heart valve abnormalities. Physical examination: T38.7 ℃, anemia appearance, double thighs