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患者男性,14岁,因全身结节、斑块14个月,伴发热9个月收住院。7个月前有肝脾肿大、大网膜增厚,心包积液、胸腹水病史,皮质类固醇治疗有效,停药易反复。住院1周后,外周血3系迅速下降,肝功能迅速恶化,凝血障碍,并出现瘀点和上消化道出血。住院16天,自动出院,出院后6天死于上消化道出血。皮下结节处活检及免疫组化示:皮下脂膜炎样T细胞淋巴瘤。
Male patient, 14 years old, due to systemic nodules, plaque 14 months, with fever 9 months admitted to hospital. 7 months ago, hepatosplenomegaly, omentum thickening, pericardial effusion, ascites and hydrothorax, corticosteroid treatment is effective, withdrawal is easy to repeat. One week after hospitalization, peripheral blood 3 system rapidly decreased, liver function deteriorated rapidly, coagulation disorders, and petechia and upper gastrointestinal bleeding. Hospitalized for 16 days, discharged automatically, 6 days after discharge from upper gastrointestinal bleeding. Subcutaneous nodules biopsy and immunohistochemistry showed: subcutaneous panniculitis-like T-cell lymphoma.