患儿,男,7岁。间歇性发热、关节痛、眼睑浮肿、血尿两年,反复头痛、呕吐8月,全身皮肤广泛出血性皮疹、血尿半月,于1984年2月,15日入院。有乙肝密切接触史。病程中曾先后诊断为类风湿性关节炎、慢性肾炎、肾功能不全、血小板减少性紫瘢、紫瘢性肾炎Evans综合征等,于1983年5月外院检 Children, male, 7 years old. Intermittent fever, joint pain, eyelid edema, hematuria two years, repeated headache, vomiting in August, systemic hemorrhagic skin rash, hematuria half a month, in February 1984, 15 days admission. There is a history of close contact with hepatitis B. During the course of the disease has been diagnosed as rheumatoid arthritis, chronic nephritis, renal insufficiency, thrombocytopenic purpura, purpura nephritis Evans syndrome, in May 1983 outside the hospital