结节性脂膜炎临床特点

The Clinical Characteristics of Nodular Panniculitis

目的:研究结节性臆膜炎临床特点。方法:回顾性分析13例经病理确诊的结节性脂膜炎患者的临床资料。结果:主要表现有皮下结节(100%)、发热、关节痛。常分为皮肤型和系统型,后者可有消化、血液、呼吸、神经系统脏器受累。皮肤型预后良好,系统型需用糖皮质激素、免疫抑制剂及加强支持治疗。系统型预后差,常因多脏器功能衰竭、出血、感染而死亡。结论:结节性脂膜炎临床表现多样,系统型较皮肤型预后差。

Objective： To study the clinical characteristeristies of nodular pannieulitis. Methods： Retrospective analysis was diagnosed pathological in 13 cases of nodular panniculitis with clinical information. Results： The main performance had subcutaneous nodules, fever, arthralgia. It was divided into skin type and system type, The latter maight had digestive , blood, respiratory, nervoussystem organ involvement. Skin type had a good prognosis, System type used glueocorticoids, immunosuppressants and strengthtn support for the treatment of. System type had bad prognosis.Due to multiple organ failure, hemorrhage, infection and death. Conclusions： Nodular panniculitis dirversed clinical manifestious, the system type was than the skin type and poor prognosis.