莉莉从小死了母亲,继母脾气暴躁,经常拿她当“出气筒”。莉莉上小学一年级时,因一次考试成绩不好,被继母毒打了一顿,并罚她抄写考试卷子5遍。次日,莉莉就卧床不起,出现发热、双腿酸痛等症状。爸爸带她到医院看病,医生诊断为“风湿热”。经打退热针、输液,症状逐渐消失。但从此以后,每到临近考试的前几天,莉莉就会出现低热、双腿酸痛的症状,等考试一过,不用治疗,这些症状也会消失。莉莉的父母感到很纳闷儿,带她前来心理门诊咨询,确诊为“心因性风湿热”。据有关调查研究发现,风湿热在儿童中的发病高峰是8岁左右。用链球菌感染并不能合理解释这 Lily died from a mother, stepmother temper, often take her as “punching bag.” When Lily was in first grade, she was beaten by her stepmother for failing in an exam and punishing her for copying examination papers five times. The next day, Lily bedridden, fever, leg pain and other symptoms. Dad took her to the hospital to see a doctor, the doctor diagnosed as “rheumatic fever.” The fight back hot needle, infusion, the symptoms gradually disappear. But since then, every few days before the exam, Lily will appear low fever, the symptoms of his legs sore, such as exams over, without treatment, these symptoms will disappear. Lily’s parents feel very puzzled children, take her to the psychiatric consultation, diagnosed as “heart-shaped rheumatic fever.” According to the survey found that onset of rheumatic fever in children is about 8 years old. Streptococcal infection does not justify this