病历摘要汪××,女,33岁。因四肢关节疼痛5年于1984年10月25日入院。患者于5年前开始每于寒冷或情绪改变时出现两手指先发白、后发紫现象,并感双腕、踝关节疼痛、肿胀。以后逐渐发展至肩、肘、髋关节疼痛,非游走性与天气无关,服用强的松可明显减轻,在减量或停药后再发。2年前面部出现褐红色皮 Medical records Wang × ×, female, 33 years old. 5 years due to joint pain in limbs in October 25, 1984 admission. Patients began to appear white and purple after every cold or emotional change five years ago. They also felt double wrists and ankle pain and swelling. After the gradual development of the shoulder, elbow, hip pain, non-migratory and weather has nothing to do, taking prednisone can be significantly reduced, re-issued after reduction or withdrawal. 2 years ago the face appeared maroon skin