病例:女,30岁。十年来无明显诱因经常发热,体温多在38℃左右,伴有腕、膝踝关节游走性疼痛。有时关节肿胀,活动不受限。曾多次检查血沉增快,诊断为“风湿性关节炎”。经口服阿司匹林、强的松等症状可缓解,停药后又复发。近三周咳嗽、气短。本次入院体温38.7℃,查体发现左右颈 Case: Female, 30 years old. Ten years there is no obvious incentive to fever, body temperature and more at about 38 ℃, accompanied by wrist, knee and ankle joint pain. Sometimes joint swelling, activity is not limited. Have repeatedly check ESR, diagnosed as “rheumatoid arthritis.” After oral aspirin, prednisone and other symptoms can be relieved, relapse after stopping. Nearly three weeks cough, shortness of breath. Admission temperature 38.7 ℃, physical examination found about neck