例1,男性,67岁。因反复发热,全身疼痛14月,痰中带血1月入院,曾院外多家医院检查治疗,分别拟诊:右下肺炎、多发性骨髓瘤、未定型结缔组织病、成人still病等。予对症治疗1年余,症状反复发作。入院查体:心肺未见异常,脊柱四肢无红肿、疼痛。SR30mm/h,ANA(-),胸片:右上肺浸润型肺结 Example 1, male, 67 years old. Due to repeated fever, body pain in 14 months, bloody sputum admitted to hospital in January, had hospital outside the hospital for examination and treatment, were diagnosed: lower right pneumonia, multiple myeloma, not set connective tissue disease, adult still disease. To symptomatic treatment more than 1 year, the symptoms recurrent. Admission examination: no abnormal heart and lungs, spine limbs without swelling, pain. SR30mm / h, ANA (-), chest X-ray: infiltration of the right lung pulmonary tuberculosis