以发热、肾损伤和淋巴结肿大为主要表现的Castleman病1例

摘要

Due to untypical manifestations,missed diagnosis and misdiagnosis of Castleman's disease are very common in clinical practice.It is essential to grasp its clinicopathological characteristics to reduce missed diagnosis and misdiagnosis.In this paper, we reported one patient with clinical manifestations of fever,kidney injury and lymphadenectasis.After admission,the patient was finally diagnosed as Castleman's disease with pathological finding, combined with clinical manifestations and laboratory results.We expect that this report will promote the understanding and diagnosis of the disease for clinicians.%Castleman病临床表现不典型,极易漏诊误诊,加深对Castleman病临床病理特点的认识,是减少误诊的关键.本文讨论1例多中心型Castleman病,临床表现主要为发热、肾损伤、淋巴结肿大,入院后经临床-实验室检查-病理相结合,最终依据病理明确诊断.希望通过本病例,提高临床医师对该病的认识及诊断水平.