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患者:女,40岁。14年前开始反复出现脓血便,10年前出现多关节肿痛,入院前20天右眼红肿、畏光、视物不清,全身乏力,多关节肿痛,下蹲困难,脓血便每天6次～7次。体检:贫血貌,结膜充血,脾肋下2cm,双侧手指关节、腕、膝、踝、趾关节轻度肿胀,压痛阳性,双腿“4”字试验阳性。实验室检查:Hb79g/L,大便常规:外观脓血便,红细胞30～40/HP,白细胞50/HP～60/HP,潜血(++),ESR 55mm/lh,CRP 4.72mg/L,HLA-B_(27)阴性,蛋白电泳:Alb 0.41,α_2球蛋白0.12,γ球蛋白0.32。消化道造影:全结肠带
Patient: Female, 40 years old. Pus and blood stools began to appear repeatedly 14 years ago, and polyarthritis was found 10 years ago. Right eye was inflamed 20 days before admission, photophobia, blurred vision, generalized weakness, joint swelling and pain, difficulty squatting, and septicemia 6 Times ~ 7 times. Physical examination: anemic appearance, conjunctival hyperemia, splenic ribs 2cm, bilateral finger joints, wrist, knee, ankle, toe joint mild swelling, tenderness positive, legs “4” test positive. Laboratory examination: Hb79g / L, stool routine: the appearance of pus and blood stool, red blood cells 30 ~ 40 / HP, white blood cells 50 / HP ~ 60 / HP, occult blood (++), ESR 55mm / lh, CRP 4.72mg / B_ (27) negative, protein electrophoresis: Alb 0.41, α_2 globulin 0.12, γ globulin 0.32. Gastrointestinal imaging: the whole colon band