患者女,56岁。低热,有时高热伴游走性关节痛、肢端散在结节性红斑20余年,周期发作,与天气有关,见于指、腕、肩、膝、踝或腰部。高热退后,数十天或更长时间,关节痛和结节性红斑才消失,曾服抗风湿药无效。近3月前,因发热、咳嗽、痰中带血伴右胸痛、尿频,住外院2次,尿中检出结核杆菌,抗痨治疗好转出院。一月来未服抗痨药,高热、咳嗽、尿频、腰痛3天伴左拇指、腕、膝关节肿痛、左掌结节性红 Female patient, 56 years old. Low fever, sometimes high fever with migratory joint pain, extremity scattered in the erythema nodosum more than 20 years, periodic attacks, and the weather, seen in the fingers, wrist, shoulder, knee, ankle or waist. High fever back, dozens of days or longer, arthralgia and nodular erythema disappeared, had served anti-rheumatic drugs ineffective. Nearly three months ago, due to fever, cough, bloody sputum with right chest pain, frequent urination, outside the hospital 2 times, the urine of Mycobacterium tuberculosis, anti-tuberculosis treatment improved discharge. January did not take anti-tuberculosis drugs, fever, cough, frequent urination, low back pain 3 days with left thumb, wrist, knee pain, left nodular red