病历摘要周某,男,28岁。游走性关节、肌肉疼痛83天,于1980年3月18日入院。90天前无明显诱因出现多汗、心悸、心前区不适,未引起重视,尚未治疗。一周后左臀部、双侧髋、肩、踝关节,双侧腰部及左胸部呈游走性、剧烈性疼痛,活动时疼痛尤甚,局部无红肿,亦无畏 Medical records Zhou, male, 28 years old. Migration joints, muscle pain 83 days, March 18, 1980 admission. 90 days ago no obvious incentive to sweating, heart palpitations, precordial discomfort, did not pay attention, not yet treated. A week later, the left buttocks, bilateral hips, shoulders, ankles, bilateral lumbar and left chest were migratory, severe pain, particularly painful activities, no local swelling, no fear