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患儿女,12岁。因反复游走性关节疼痛于1989年8月31日-10月6日及10月9日-11月26月二次在本儿科住院治疗。第一次因上述症状1月余伴不规则发热入院,各关节无红肿,未见皮疹。血色索90g/L,血沉120mm/h,抗链“O”500单位,C反应蛋白阳性。拟诊:“风湿性关节炎”,给口服阿斯匹林,髋膝关节仍剧痛,尤以髋关节为甚。加服强的松疼痛缓解,血沉正常,住院1月余好转出院。出院第三天关节疼痛复发(未停药)。再次入院,住院半月除关节症状外,身体消瘦,体重从28kg减到22kg,疲乏无力,呈重度贫血貌,Hb由80g/L降至55g/L;头部出现数个硬性骨结
Children with children, 12 years old. Due to repeated migratory joint pain in August 31, 1989 - October 6, 1989 and October 9 - November 26 in the pediatric hospital twice. For the first time in January due to the above symptoms with irregular fever admitted to the hospital, the joints without swelling, no rash. Blood color cord 90g / L, erythrocyte sedimentation rate 120mm / h, anti-chain “O” 500 units, C-reactive protein positive. To be diagnosed: “Rheumatoid arthritis,” to oral aspirin, hip pain is still severe, especially in the hip. Plus strong pine pain relief, normal erythrocyte sedimentation rate, hospital stay better than January out. On the third day of hospital discharge, joint pain was recurred (without stopping). After hospitalization again, in addition to joint symptoms, the body weight loss, weight reduced from 28kg to 22kg, fatigue, weakness, severe anemia appearance, Hb decreased from 80g / L to 55g / L; the head appeared several rigid bone knot