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患者男性,46岁。3年前无意发现两侧腹股沟数个淋巴结肿大,不痛。2年后两下肢无力,近7个月疼痛,发麻、发凉、行走300公尺左右,需休息数分钟才能继续行走。1989年6月7日切除兰尾,腹股沟肿大淋巴结活检,报告为嗜酸细胞性淋巴肉芽肿。兰尾炎术后,两下肢无力、足趾痛及间歇性跛行等症状加重。体检:血压:左上肢100/80,右上肢120/70,左下肢测不出,右下肢130/90。除腹肢沟淋巴结肿大外,其余浅表淋巴结未触及,朐背部皮肤未见扩张血管,
Male patient, 46 years old. 3 years ago, no intention to find several inguinal lymph nodes on both sides, no pain. Two years later, both lower extremities weakness, pain, numbness and cold for about 7 months, walking about 300 meters, need to rest for a few minutes to continue walking. June 7, 1989 removal of the tail, groin lymph node biopsy, reported as eosinophilic lymphogranuloma. After mastitis surgery, both lower extremities weakness, toe pain and intermittent claudication and other symptoms worsened. Physical examination: Blood pressure: left upper limb 100/80, right upper limb 120/70, left lower limb undetectable, right lower limb 130/90. In addition to abdominal groin lymph nodes, the remaining superficial lymph nodes did not touch, no skin dilatation of blood vessels,