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病例介绍:患者女性,25岁。住院号:71066,以反复手足肿胀伴关节痛3年。心悸、咳嗽半个月于1990年1月28日入院。本病起始于1987年12月初,病人最先出现面颊部红斑,继尔眼睑浮肿,手指肿胀麻木,尤于冬季加剧,手指端出现苍白、青紫,夏季症状可缓解。半年后又出现膝关节酸痛伴足趾肿胀,曾多次就医先后拟诊“神经性水肿”“肾小球肾炎”“红斑性狼疮”“皮肌炎”“混合性结缔组织病”等。病后曾经用强的松治疗一年半,症状好转而停药,其后间歇服中药治疗,至今已7个月。近期症状加剧且半个月来发热咳嗽,伴吞咽粗食感到不舒适而就诊,门诊拟“红斑狼疮”收入院。
Case Presentation: Patient Female, 25 years old. Hospital number: 71066, repeated hand and foot swelling with joint pain for 3 years. Palpitations, cough for half a month on January 28, 1990 admitted. The disease began in early December 1987, the patient first appeared cheek erythema, following the eyelid edema, swelling and numbness of the fingers, especially in winter aggravating finger side appears pale, bruising, summer symptoms can be alleviated. Six months after another knee pain accompanied by toe swelling, has repeatedly medical treatment has been diagnosed “neurogenic edema,” “glomerular nephritis,” “lupus,” “dermatomyositis,” “mixed connective tissue disease.” Has been treated with prednisone for one and a half years after the illness, the symptoms improved and discontinued, followed by intermittent taking traditional Chinese medicine treatment, has been 7 months. The recent symptoms and worse fever and cough half a month, with swallowing rough feel uncomfortable and treatment, outpatient department to be “lupus” income hospital.