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结节性动脉周围炎(PAN)是一种以中小动脉节段性炎症为特征的多系统疾病,此病儿童罕见,而以皮肤损害为表现的PAN患儿仪VetbOv报道过一例。本例为5岁起患慢性皮肤型PAN的儿童,观察期5年。病历报告:思儿为5岁女孩,1979年8月以发热,双下肢疼痛性结节及间歇性关节疼痛(以手指为主)4个月入院。体检:T37.1℃,一般情况良好,咽、心肺、腹部及神经系统检查均正常。皮肤检查:在股内侧、小腿下端、足、臂及左耳前等处可见1×1cm大的卵圆形及长条形紫色结节,轻度触痛,表面皮肤有斑纹。左食指指问关节稍肿胀,其它均正常。实验室检查;ESR 105mm/h。Hb11.7g,WBC9700。尿常规、BUN、SGOT、
Nodular periarteritis (PAN) is a multi-system disease characterized by segmental inflammation of small and medium sized arteries, which is rare in children, and VetbOv was reported in one case of PAN pediatric patients with skin lesions. This is a case of children with chronic skin-type PAN starting at 5 years of age, with an observation period of 5 years. Medical records: Si Er is a 5-year-old girl. He was admitted to hospital in August 1979 with fever, painful nodules in both lower extremities, and intermittent joint pain (mainly with fingers) for 4 months. Physical examination: T37.1 ℃, generally good, pharynx, cardiopulmonary, abdominal and neurological examination were normal. Skin examination: In the stock, the lower leg, foot, arm and left front of the other places can be seen 1 × 1cm large oval and elongated purple nodules, mild tenderness, the surface of the skin markings. The left index finger asked the knuckle slightly swollen, others were normal. Laboratory tests; ESR 105mm / h. Hb 11.7g, WBC9700. Urine, BUN, SGOT,