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患者,男,14岁,于1981年9月下旬患痢疾发热三天后发生右足背疼痛。约7天后右膝关节肿痛,继之两眼结膜充血、怕光、发涩,左膝关节及两腕关节肿疼。小便次数增多,偶有尿液混浊,呈黄色或带乳糜状尿。低中热,呈持续性,午后加重。头部易汗,口干,食欲欠佳.生活不能自理。既往健康无特殊病史。体检:T 39.1℃,P 110次,BP 110/70。发育正常、神清,面色(白光)白,略消瘦,两膝、腕关节肿张,有压疼,四肢肌肉萎缩.实验室检
The patient, male, 14 years old, developed right foot and back pain after three days of fever with dysentery in late September 1981. About 7 days after the right knee joint swelling and pain, followed by two conjunctival hyperemia, fear of light, astringent, left knee and two wrist swollen. Increased urination, occasionally cloudy urine, yellow or with chylous urine. Low to medium heat, was persistent, increased in the afternoon. Sweaty head, dry mouth, poor appetite .Life can not take care of themselves. Past health no special history. Physical examination: T 39.1 ° C, P 110 times, BP 110/70. Normal development, Shenqing, looking (white) white, a little thin, knees, swollen wrist, tenderness, limb muscle atrophy.