“勒雪综合征”误诊为“缺铁性贫血，脾亢”1例

摘要

勒雪综合征是朗格罕细胞组织细胞增生症最重的一个临床类型，儿科临床罕见，我院于2010年5月收治1例，曾被误诊为"缺铁性贫血，脾亢"。患儿男性，15个月，因呼吸促，皮疹半年，变大半月以"贫血待查"入院。本患儿特点：皮疹特殊，头面部、躯干可见与皮肤同色，直径2 mm的斑丘疹，成批出现；贫血，脾大，考虑组织细胞增生症？转上级医院完善骨穿及皮疹印片检查，确诊勒雪综合征。2013年7月，该患者又因患"喉炎"来我院就诊，对症治疗后好转出院。%Forces the snow synthesis to draft is a Langge rarely cellulary tissue cellproliferation sickness heaviest clinical type,the department of pediatrics clinical rare, my courtyard admits 1 example in May, 2010, once was "lacks by the error diagnostic iron anemia, the spleen is high".Trouble male child, 15 months, because breathes presses, the skin rash half year, the fil-out half a month"treats by anemia looks up"in hospital.This trouble characteristic:The skin rash is special, a face, the torso with the skin homochromy, the diameter 2mm spot papula, in groups appear obviously; Anemia, the spleen is big, considers the organization cellproliferation sickness? Transfers the higher authority hospital consummation bone to put on and the skin rash India piece inspection, the diagnosis forces the snow synthesis to draft.In July, and further because 2013, this patient contracts"laryngitis"to come my courtyard seeing a doctor, after the just right for the il ness treatment changes for the bet er the out of hospital.