【摘 要】
：
患者女性,29岁,因间断性发热、关节肿痛1年住院。体检:T38℃,P100次/分,R20次/分,BP13.3/9.3kPa,慢性病容。颜面部有痤疮及色素沉着,皮肤粗糙干燥有白色脱屑,未见环形红斑、
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患者女性,29岁,因间断性发热、关节肿痛1年住院。体检:T38℃,P100次/分,R20次/分,BP13.3/9.3kPa,慢性病容。颜面部有痤疮及色素沉着,皮肤粗糙干燥有白色脱屑,未见环形红斑、出血点及蜘蛛痣,巩膜无黄染。左肘关节处可及2个2×1cm皮下坚硬小结,浅表淋巴结无肿大。两肺呼吸音清,心界无扩大,心率100次/分,律整,心音有力,心尖部Ⅱ°收缩期吹风样
Female patient, age 29, was hospitalized for 1 year due to intermittent fever and joint swelling and pain. Physical examination: T38 ℃, P100 beats / min, R20 beats / min, BP13.3 / 9.3kPa, chronic disease. Face facial acne and pigmentation, rough skin dry white scaling, no ring erythema, bleeding and spider nevus, sclera no yellow dye. The left elbow joint can be 2 2 × 1cm subcutaneous hard nodules, superficial lymph nodes without swelling. Breath sounds clear two lungs, no expansion of the heart, the heart rate 100 beats / min, the whole law, strong heart sounds, apical Ⅱ ° systolic hair style
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