病例报告患者男,43岁。住院号:15192。因双侧膝、踝、指、趾关节对称性肿痛两月余,于1979年11月27日入院。伴低热、胃纳差、体重减轻。曾按类风湿性关节炎治疗,症状可缓解,停药后又发作。1977年11月因鼻咽癌曾作放射治疗。1979年8月经肿瘤医院复查鼻咽及胸部透视均未发现异常。体查:各 Case report Male patient, 43 years old. Hospital number: 15192. Symptoms due to bilateral knee, ankle, finger, toe joint swelling and pain more than two months, on November 27, 1979 admitted. With low fever, poor appetite, weight loss. According to rheumatoid arthritis treatment, the symptoms can be alleviated, after stopping the attack. November 1977 for radiation therapy for nasopharyngeal carcinoma. August 1979 by the Cancer Hospital review of the nasopharynx and chest X-ray showed no abnormalities. Physical examination: each