论文部分内容阅读
男,46岁,因不规则发热、乏力、纳减、多饮、多尿,全身色素沉着增多5月,于1986年11月22日入院.患者5月前开始不明原因的不规则发热,体温37.5～39.3℃,乏力、头晕、耳鸣、食欲减退、消瘦烦渴、多饮、多尿,每天饮水约12000ml,最多25000ml,每日排尿10次以上,全日尿量最多可达6000ml.全身皮肤发黑,鱼鳞状,鼻衄,出汗多.曾在当地医院按“阿狄森氏病”用强的松每日40mg,无改善.检查:T39.4℃,全身皮肤黑色素沉着,面部及双下肢为显,呈鱼鳞状,口腔粘膜干燥,浅表淋巴结不大.无胸骨压痛,心肺(-),
Male, 46 years old, due to irregular fever, fatigue, reduction, polydipsia, polyuria, systemic hyperpigmentation increased in May, admitted to hospital on November 22, 1986. The patient began to have unexplained irregular fever 5 months ago, body temperature 37.5 ~ 39.3 ℃, fatigue, dizziness, tinnitus, loss of appetite, weight loss thirst, polydipsia, polyuria, daily drinking water about 12000ml, up to 25000ml, daily urination more than 10 times, daily urine output up to 6000ml. Black, fish scale, epistaxis, sweating and more. Had in the local hospital according to “Addison’s disease” with prednisone daily 40mg, no improvement .Check: T39.4 ℃, systemic skin pigmentation, facial and double Lower extremity was significant, was scaly, dry oral mucosa, superficial lymph nodes is not large, no tenderness of the chest, heart and lung (-),