患者,男,50岁,因“四肢关节肿痛2年余,加重半月”以“银屑病,关节炎”入院。患者2年多前无明显诱因出现右足趾肿痛,后渐出现双膝、踝、手指等四肢关节肿痛。曾于外院诊治,具体诊疗过程不 Patients, male, 50 years old, due to “limbs joint swelling and pain more than 2 years, increased half a month ” to “psoriasis, arthritis ” admission. More than 2 years before the patient had no obvious incentive to appear right toe swelling pain, gradually appeared knees, ankles, fingers and other limbs joint swelling and pain. Have been outside the hospital for diagnosis and treatment, the specific diagnosis and treatment process is not