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唐××,男性,21岁,湘籍,战士。1981年5月发现双下肢皮肤受损后出现淤斑,晨起口腔含有血液,并感头晕、乏力,骨关节疼痛入院。病人自诉父母兄弟四人均健康,否认有同样病症。曾三次住院均误诊为“原发性血小板减少性紫癜”。体检:神志清楚,发育正常,体形消瘦,浅表淋巴结不肿大,双眼球结膜下缘有0.8×0.2cm的束状黄色色素沉着,心肺正常.肝在肋弓下触及边缘,侧卧时,脾在肋弓下能触及1cm,双下肢胫骨有轻度压痛。化验检查:Hb12.5g％,WBC5090,N64％,L32％,E4％,血小板5.6
Tang × ×, male, 21 years old, Hunan, warrior. 1981 May found double lower extremity skin damage after ecchymosis, morning oral contains blood, and feel dizzy, fatigue, bone and joint pain hospitalization. The patient complained of parents and brothers four were healthy, denied the same illness. Had three hospitalizations were misdiagnosed as “primary thrombocytopenic purpura.” Physical examination: conscious, normal development, body weight loss, superficial lymph nodes are not enlarged, bilateral conjunctival lower edge of 0.8 × 0.2cm beam yellow pigmentation, normal heart and lung. Spleen in the ribs can reach 1cm, both lower extremity tibia mild tenderness. Laboratory tests: Hb12.5g%, WBC5090, N64%, L32%, E4%, platelet 5.6