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yxfbbiedtj · Wysłany: Sob 4:26, 05 Mar 2011

Subacute necrotizing lymphadenitis Misdiagnosis

Of the SNI. The pathological features of ignorance. 2.2SNI. In addition to lymph nodes, there are fever, hepatosplenomegaly and skin rash or joint pain and other multi-system performance, due to misdiagnosis as a result of complex disease seen in the following situations: ① fever, cervical lymph node swelling misdiagnosed as tuberculosis or purulent cervical lymph node inflammation; @ due to persistent fever, hepatosplenomegaly, WBC significantly increased bone marrow toxicity was infection. Mistaken for sepsis,} @ long-term treatment with antibiotics and lymphadenopathy with swelling of the liver askance. Misdiagnosed as malignant lymphoma and malignant histiocytosis f ④ shown by blood hemoglobin, WBC and BPC exception of three lines misdiagnosed as acute leukemia, or blood cells by bone marrow hyperplasia with low step will be diagnosed with aplastic anemia} @ due to rash,[link widoczny dla zalogowanych], WBC lower ESR fast, joint pain, and antibiotics will be considered invalid SLE and other connective tissue diseases f @ fever, hepatomegaly with elevated ALT. Mistaken for the diagnosis of hepatitis or liver abscess; ⑦ 2.3 individual physician because of cervical lymph node there sense of duty,[link widoczny dla zalogowanych], or over-reliance on laboratory tests and misdiagnosis. If the case of fever, liver and lymph nodes were askance mistaken for lymphoma. while turning a blind eye to the WBC count abnormalities; will exist in the rash and abnormal lymphocytes and rush to return complexes due to allergic reactions in cephalosporin wow (drug only one day) f the fever, WBC significantly increased bone marrow showed Lou a single diagnosis of leukemia reaction garland as sepsis with leukemoid reaction and so on. In short, the main cause of misdiagnosis SNL is a complex and diverse clinical manifestations of the disease, doctors and their lack of knowledge is not high due vigilance. So. raise awareness of this disease in time lines and clinical lymph node biopsy, comprehensive analysis of the disease before diagnosis, in order to avoid misdiagnosis . reference to the text look a Sun Danfeng. necrosis of hyperplastic lymphadenopathy eight down. Journal of Pediatrics, 1983.21 (6】: 365.2DorfrasnRF,[link widoczny dla zalogowanych], et.Kikuehi 'head histioeytlcneeroti ~ Lyp ~ tdentitls】 head nanalysisof108c Yin eswithem # iaisisondif-rentlmldi ~ nosis + SemlnDiagPath. l, 1988,5:329 the diagnosis of asthma are mostly in time. As the pathogenesis of asthma and the pathophysiology and diagnostic tools for further understanding of the maturity in recent years,[link widoczny dla zalogowanych], it was noted that some atypical features of asthma [】], such as persistent cough, nausea and other paroxysmal dark, due to its lack of typical symptoms of wheezing, easy clinical misdiagnosis. This paper analyzes the performance of atypical clinical diagnosis of bronchial asthma in 15 mixed reverse the situation to further raise awareness of this particular type of asthma knowledge, to reduce further the clinical misdiagnosis. Clinical data of 11 General Information The group of 15 down, 9, down male and 6 female patients aged 13 to 66 years, an average of 353 years. both deny any history of asthma 12 clinical manifestations were repeated inverted l5 cough, take a variety of antibiotics and antitussives invalid, which attacks mainly at night and early morning u cases, day and night attacks were down 3 to attack the main L down during the day; cough without sputum l2 cases, a small amount of white sticky sputum 3 I15 crossing back no obvious incentive to cough, but irritating gases (such as cigarette smoke) can aggravate the symptoms of the fall and have paroxysmal noon 7 stuffy, 5 occurred at night or in the early fall, 2 patients had an average of 3.5 months}. L5 patients had no significant wheezing. check: Il patients with normal auscultation of both lungs; 2 cases of respiratory sounds rough, could be heard and the limitations of dry rales breath sounds} 2 down low, was f no signs of emphysema and wheezing heard. x-ray tl0 back normal, 2 had emphysema signs down, 2 right lower lung markings down the rough, an inverted diffuse nodular shadows. electrocardiogram 9 normal, 3 down s_T segment depression, inverted T wave changes in 2, 1 Department of occasional atrial premature beats noon CT examination 2 down without exception. 1.3 misdiagnosis first misdiagnosed as acute and chronic bronchitis, 7, down, left ventricular failure (paroxysmal nocturnal dyspnea) 3 down, 2 down with angina pectoris, cardiac death, interstitial pneumonia, upper respiratory tract infection in 1 case. 14 clear diagnosis based on [27 patients Island agonist inhalation or intravenous After the injection of tiny tea ammonia peak expiratory flow (PEFR) increased more than the confirmed l5; 6 PEFR variation rate down 24 hours over 20 f above and the other 2 down although not confirmed on pulmonary function tests done,[link widoczny dla zalogowanych], but the use of hormones and symptoms of asthma drugs significantly improved. l5 down this group and patients with bronchiectasis Jing inhaled corticosteroids, cough, nausea and other symptoms improved noon. * 147