1992年1月5日查房纪要——副主任医师请实习医生报告病历。实习医师女患,30岁,因发热、双侧腕关节及双手指间关节疼痛、颈部皮疹反复发作3月余入院。患者3个月前无明显原因的出现发热,体温波动在37.9℃～38.8℃之间。2天后双侧腕关节及近侧指间关节出现肿胀疼痛并强直,受凉后加重。双侧 January 5, 1992 rounds summary - deputy chief physician interns report medical records. Female Intern, 30 years old, due to fever, bilateral wrist and bilateral interphalangeal joint pain, recurrent neck rash more than 3 months admitted to hospital. Patients 3 months ago no obvious reason for fever, body temperature fluctuations between 37.9 ℃ ~ 38.8 ℃. Two days later, bilateral wrist joint and proximal interphalangeal joint swelling pain and ankylosis, increased after the cold. Bilateral