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蕈祥肉芽肿并发急性单核细胞性白血病,临床较为少见,笔者发现一例,现报告如下: 患者张××,男,47岁,工人。因四肢红斑、搔样、头晕、乏力两月余,于1986年12月21日来我院门诊就医。体查:头颅无畸形,瞳孔双侧对称,大小正常,咽不潮红,口腔无溃疡,扁桃体不肿大,心肺(一),腹平软,肝不大,脾肋下触及边缘,表浅淋巴结无肿大,脊椎及四肢无畸形。四肢皮肤可见块状红斑,小者如芝麻,大者直径4—5毫米,边缘不齐,形似花瓣,外观不高出皮肤,无溃烂及分泌物。化验:尿粪常规正常,血象:Hb9.6％,RBC320万/mm~3,WBC13800/mm~3,
Mushroom Xiang granulomatous complicated by acute monocytic leukemia, clinical less common, I found a case, are as follows: The patient Zhang × ×, male, 47 years old, workers. Due to limbs erythema, scratch-like, dizziness, fatigue more than two months, December 21, 1986 came to our hospital for medical treatment. Physical examination: No deformity of the skull, symmetrical pupil, normal size, no swollen pharynx, no ulceration in the oral cavity, no enlargement of the tonsils, cardiopulmonary (a), flat abdomen, No enlargement, spine and limbs without deformity. Extremities skin visible massive erythema, the smaller ones such as sesame, the larger the diameter of 4-5 mm, the edge of the missing, shaped like a petal, the appearance of not higher than the skin, no ulceration and secretions. Laboratory tests: normal urinary excretion, blood: Hb9.6%, RBC3.2 million / mm ~ 3, WBC13800 / mm ~ 3,