患者　女性,63岁。因双手多处肿痛1个月,在外院服用止痛药物、抗风湿治疗,未见明显好转。于1996年2月来本院就诊。局部检查:双手拇指、中指末节及左小指红肿,局部皮温不高,触痛明显,屈伸活动障碍。拍摄X线片发现:双手拇指末节、中指末节及左手小指指骨、舟状骨均可见溶骨性破坏 Patient Female, 63 years old. Due to multiple swellings and pains in both hands for one month, no pain was seen in the external hospital taking anti-pain medication and anti-rheumatic treatment. In February 1996 came to our hospital. Local examination: the thumb, the middle finger and the left little finger are swollen and red, the local skin temperature is not high, the tenderness is obvious, and flexion and extension activity is impaired. The X-ray findings showed that osteolytic destruction was seen in the distal and middle fingertips of both hands, and in the phalanx and phalanges of the left hand.