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例一:患者男,50岁,工人,病例号15250。四肢关节红肿热痛伴畏寒发热反复发作26年。1956年3月开始发高热并右(足母)趾趾跖关节肿痛,经用抗菌素及对症治疗5天后热退疼痛消失。此后1956—1972年间曾因反复发作20余次住院治疗,拟诊风湿、类风湿性关节炎。每逢雨天或气候转变时起病,春夏二季易复发,吃羊、鸭等肉类后加重。疼痛多从一个指趾关节开始,逐渐漫延至其它关节。1965年后四肢小关节变形,运动障碍,摄片发现第一(足庶)骨远端有骨质破坏。近六年来在耳廓及四肢关节周围出现硬结。硬结先发红后变白自行破溃流出白色砂粒样血性液体,或挤出白色颗粒,手捻即呈粉末,溃破后疼痛减轻,但伤口愈合困难。自服
Example 1: Male patient, 50 years old, worker, case number 15250. Joint swelling and pain in limbs with chills and fever recurrent for 26 years. 1956 March began to send high fever and right (foot mother) toe metatarsophalangeal joint swelling and pain, with antibiotics and symptomatic treatment 5 days after the heat pain disappeared. Since 1956-1972, he had been hospitalized for more than 20 episodes repeatedly to diagnose rheumatoid arthritis and rheumatoid arthritis. Whenever rain or climate change onset, spring and summer, easy to relapse, eating sheep, ducks and other meat increased. Pain often starts from a phalangeal joint and gradually spreads to other joints. After 1965 limb deformity, dyskinesia, radiography found that the first (feet Shu) distal bone destruction of bone. Nearly six years in the pinna and limb joints appear induration. Induced redness after inducing redness white ulceration outflow of white sand like bloody liquid, or white particles out of the hand twist that was powder, pain relief after ulceration, but the wound healing difficulties. Self-service