患者,女,22岁。3年前始手指、足趾近端关节肿胀疼痛,晨起僵硬,后渐波及腕、踝、膝关节,肿胀疼痛,活动障碍,当地医院诊为“类风湿性关节炎”,应用消炎痛、萘普生等非甾体类抗炎药治疗。近半年感心慌、多食、易饥饿、消瘦、多汗、性情暴躁,无多饮、多尿、烦渴等症状,于1990年10月以“类风湿性关节炎、甲状腺机能亢进”收入院治疗。查体:T37℃,P100次,BP 20/9kPa,双眼球微 Patient, female, 22 years old. 3 years ago fingers, toes proximal joint swelling pain, morning stiffness, and later spread to the wrist, ankle, knee, swelling pain, mobility disorders, the local hospital diagnosed as “rheumatoid arthritis,” the application of indomethacin, Naproxen and other non-steroidal anti-inflammatory drugs. Nearly six months feeling palpitated, eat more, easy to hunger, weight loss, sweating, temper, tepid, no polydipsia, polyuria, polydipsia and other symptoms, in October 1990 with “rheumatoid arthritis, hyperthyroidism” income hospital treatment. Physical examination: T37 ℃, P100 times, BP 20 / 9kPa, eyes micro-ball