患者男,31岁。1990年2月11日开始右侧大腿肌阵发性疼痛,日轻夜重。口服布洛芬、倍他米松、洁霉素及针灸等治疗无效,血沉、抗O 及右股骨摄片均正常。入本院前4天右大腿肌及左胸壁肌也疼痛。病前两下肢及胸廓无外伤史,无胃溃疡、肝硬化等病史。抽烟史9年。体检:左锁骨上有一黄豆大淋巴结,质硬,固定,无触痛。胸廓无畸形,胸壁及胸骨均无压痛,心肺正常。腹软,左上腹轻度压痛,未 Patient male, 31 years old. February 11, 1990 on the right leg thigh muscle paroxysmal pain, day and night weight. Oral ibuprofen, betamethasone, lincomycin and acupuncture treatment ineffective, ESR, anti-O and right femoral radiographs were normal. Into the hospital 4 days before the right thigh muscle and left chest wall muscle pain. Before the disease two lower limbs and thoracic no history of trauma, no gastric ulcer, cirrhosis and other medical history. Smoking history for 9 years. Physical examination: There is a large lymph node of the left clavicle, hard, fixed, no tenderness. No abnormal thorax, chest wall and sternal no tenderness, normal heart and lung. Abdomen soft, mild left upper quadrant tenderness, not