患者,男,19岁,住院号76354。因四肢关节疼痛伴肿胀、活动受限1年余,加重半月入院。患者1年前始感低热、纳差、乏力,有时盗汗伴四肢关节疼痛肿胀,初以小关节疼痛为著,后累及大关节,呈游走性疼痛,活动受限且以劳累及受凉后加重。多次在当地医院就诊,均诊断为“风湿性关节炎”。给予“布洛芬、消炎痛”等药物治疗,症状时轻时重。半月前因受凉后,上述症状再度加重,以髋关节为著,伴轻度咳嗽、咳痰,再给抗风湿治疗无效而来我院。 Patient, male, 19 years old, hospital number 76354. Due to joint pain with swollen limbs, limited mobility more than 1 year, increased half a month admitted to hospital. 1 year ago, patients began to feel fever, anorexia, fatigue, and sometimes night sweats with limbs and joints pain swollen, the beginning of small joint pain, after involving the joints, was migratory pain, limited mobility and exacerbated by fatigue and cold . Many times in the local hospital for treatment, were diagnosed as “rheumatoid arthritis.” Given “ibuprofen, indomethacin,” and other drug treatment, light weight when the symptoms. Half a month ago due to cold, the above symptoms once again aggravated to the hip joint, accompanied by mild cough, sputum, anti-rheumatoid therapy and then to our hospital.