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以不明原因发热为主要表现的横纹肌淋巴瘤1例报告并文献回顾
引用本文:申晓东,陈歆,肖红菊,刘刚,翟永志,徐白萱,石怀银,黎檀实,朱海燕.以不明原因发热为主要表现的横纹肌淋巴瘤1例报告并文献回顾[J].南方医科大学学报,2015,35(6):927.
作者姓名:申晓东  陈歆  肖红菊  刘刚  翟永志  徐白萱  石怀银  黎檀实  朱海燕
作者单位:1. 解放军总医院 急诊科,京,100853
2. 解放军总医院 核医学科,京,100853
3. 解放军总医院 病理科,北京,100853
基金项目:国家自然科学基金(30900543);北京市自然科学基金资助项目(7152136);解放军总医院临床扶持基金(2013FC-TSYS-1028);解放军总医院苗圃基金面上课题(14KMM49) Supported by National Natural Science Foundation of China
摘    要:淋巴瘤是免疫系统恶性肿瘤之一,其中结外淋巴瘤患者常缺乏典型症状及阳性的辅助检查结果,部分病例仅以发热为主
要表现。对于表现为长期发热(病程>3周)的淋巴瘤患者,其发热症状的特点可以为疾病的诊断提供线索,如起热时间、热型、药
物反应等特异性表现对于明确诊断具有重要作用,尤其早期、罕见病例。应用不明原因发热的诊断思维,可以提高此类淋巴瘤
患者的诊断效率,值得深入探讨。


关 键 词:不明原因发热  淋巴瘤  诊断思维

Muscle tissue lymphoma presenting only with fever of unknown origin: a case report and literature review
SHEN Xiaodong,CHEN Xin,XIAO Hongju,LIU Gang,ZHAI Yongzhi,XU Baixuan,SHI Huaiyin,LI Tanshi,ZHU Haiyan.Muscle tissue lymphoma presenting only with fever of unknown origin: a case report and literature review[J].Journal of Southern Medical University,2015,35(6):927.
Authors:SHEN Xiaodong  CHEN Xin  XIAO Hongju  LIU Gang  ZHAI Yongzhi  XU Baixuan  SHI Huaiyin  LI Tanshi  ZHU Haiyan
Abstract:Extra-nodal malignant lymphoma is often characterized by a lack of typical symptoms and positive results of
auxiliary examinations, which make diagnosis difficult. In some cases, fever can be the only clinical manifestation. For the
lymphoma patients presenting with persistent fever with a duration over 3 weeks, characteristics of fever including time of
fever attack, fever type and effects of drugs may have significant value in the diagnosis, especially in the early stage of the
disease or in rare cases.
Keywords:fever of unknown origin  lymphoma  diagnosis
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