1病历简介女，65岁。半年前出现右侧臀部、大腿外侧、窝、小腿外侧至足跟部持续性钝痛，夜间不能向右侧卧。在外院诊断为风湿性关节炎，治疗无效。10天前上述症状加重。腰部、骶部均感疼痛，在起立翻身等活动时痛如刀割样。发病以来体质日差，胃纳减，感低热，无水肿。查体：T3 1 medical history profile Female, 65 years old. Half a year ago there was persistent dull pain in the right buttocks, lateral thighs, fossa, lateral thighs, and heel, and could not lie to the right at night. The diagnosis of rheumatoid arthritis in the outer hospital was invalid. The above symptoms worsened 10 days ago. Both the waist and the ankle felt pain and were as painful as a knife and cut. Since the onset of physical deterioration, decreased appetite, low fever, no edema. Physical examination: T3