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患儿男,12岁。以发现颜面、躯干部多发性皮下结节20d,发热10d为主诉于2002年8月30日入院。患儿20d前无明显诱因右侧腋下、右侧面颊部、胸部、腹部出现多个黄豆大小皮下结节,逐渐增大至花生米大小。10d前出现发热,体温最高达40℃,伴寒战。曾在当地诊所予以抗感染治疗,效果不佳。体检:体温38℃,精神萎糜,右侧面颊部及右腋下各1个、胸腹部散在4个花生米大小皮下结节,局部皮肤稍红,压痛不明显。心肺无异常。腹软,未触及包块,肝脾未触及。神经系统查体未见异常。
Children male, 12 years old. To find the face, trunk multiple subcutaneous nodules 20d, fever 10d mainly complaints on August 30, 2002 admission. Children 20d no obvious incentive before the right armpit, right cheek, chest, abdomen appear multiple soybean size subcutaneous nodules, and gradually increased to the size of peanuts. 10d before the emergence of fever, body temperature up to 40 ℃, with chills. Had anti-infective treatment in the local clinic, the effect is not good. Physical examination: body temperature 38 ℃, spiritual wilt Mi, the right cheek and right armpit 1 each, chest and abdomen scattered 4 peanuts size subcutaneous nodules, local skin a little red, tenderness is not obvious. No abnormal heart and lung. Abdominal soft, not touched mass, liver and spleen not touched. Nervous system examination showed no abnormalities.