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1978年我们遇到一例经“病理活检”确诊为弥漫性“色素沉着绒毛结节性滑膜炎”的患者,为提高对本病的认识,现报告如下: 时××,女性,19岁,工人。因两踝关节、左膝关节肿胀,伴间歇性疼痛两年,加重半年,收入我院治疗。入院检查:除左膝关节肿胀压痛明显外,余无异常。两年来一直按“结核性关节炎”及“风湿性关节炎”用中西药治疗无效。既往无结核、风湿病史,亦无外伤史。化验检查:白细胞6,900/立方毫米,分叶72%,红细胞380万/立方毫米;多次查血沉不高;抗链“O”1:200(单位);类风湿因子阴性;血尿酸3.4毫克%;结核菌素试验阴性;关节腔液呈棕红色混浊,红细胞(++),白细胞(++),革兰氏染色未发现细菌,糖定量160毫克%,培养结核杆菌未生长。X线摄片双
In 1978, we encountered a case of “biopsy” confirmed as diffuse “pigmented villonodular synovitis,” patients, in order to improve awareness of the disease, are as follows: when × ×, female, 19 years old, worker. Due to the two ankle joints, left knee joint swelling, with intermittent pain for two years, increased six months, income in our hospital. Admission examination: In addition to obvious swelling of the left knee joint tenderness, I no exception. Two years has been “tuberculosis arthritis” and “rheumatoid arthritis” with Western medicine treatment ineffective. No previous tuberculosis, rheumatism history, nor history of trauma. Laboratory tests: white blood cells 6,900 / cubic mm, leaf 72%, erythrocytes 3.8 million / cubic mm; repeatedly check erythrocyte sedimentation rate is not high; anti-chain “O” 1: 200 (units); rheumatoid factor negative; ; Tuberculin test negative; joint cavity fluid was brown-red turbid, red blood cells (++), white blood cells (++), Gram stain no bacteria, sugar quantitative 160 mg%, cultured Mycobacterium tuberculosis did not grow. X-ray double