病历摘要患者女,18岁。因全身关节痛1年,发热6个月,于1982年2月2日入院。1年前出现游走性右踝关节肿痛,膝、髋、肩关节痛,遇寒冷,天气变化时疼痛加剧。当地医院诊断为风湿性关节炎。曾服用强的松、消炎痛,未见好转。入院前1个月出现畏寒、发热,以午后为著,伴腰痛、右下肢麻木。病后感心慌、气 Patient history Female, 18 years old. 1 year due to systemic joint pain, fever 6 months, on February 2, 1982 admission. 1 year ago, migratory right ankle swelling and pain, knee, hip, shoulder joint pain, in case of cold, increased pain when the weather changes. Local hospital diagnosed with rheumatoid arthritis. Had taken prednisone, indomethacin, no improvement. 1 month before admission chills, fever, as the afternoon, with low back pain, right lower limb numbness. After the flu, palpitation, gas