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作者报道一例原发性干燥综合征(SS)中的无汗(少汗).患者,男,55岁.主诉双眼干燥约2年,口干6月,近6个月有出汗困难.直接日晒后易现过热.其他有吞噬困难和颌下肿大.口腔检查:涎腺不肿大.舌有红斑、裂沟、乳头萎缩及右口角唇炎.刺激腮腺的流率降低,大体是正常流率的1/10,眼科检查:中度干燥性角结膜炎,伴玫瑰红染色B型,非麻醉的Schirmer试验,流泪量减少.唇涎腺活检显示:灶性慢性涎腺炎.提示严重SS的涎腺成分.皮肤活检:真皮网状层下部有
The authors report an absence of sweat in patients with primary Sjögren’s syndrome (SS) .Patient, male, age 55. Chief complains about 2 years of dry eyes and 6 months of dry mouth with sweating difficulties in nearly 6 months. Overexposure to sun exposure. Other phagocytic difficulties and submandibular swelling. Oral examination: Salivary gland does not enlarge. Tongue erythema, fissure, papillary atrophy and right cheek inflammation. Stimulation of the parotid gland flow rate decreased, in general Normal flow rate of 1/10, ophthalmology: moderate keratoconjunctivitis sicca, with Rose B staining, non-anesthetic Schirmer test, decreased tearing, lip salivary gland biopsy showed: focal chronic sialadenitis. Serious salivary gland SS composition. Skin biopsy: the lower part of the dermis reticular layer