什么是风湿性多肌痛我们先看一个病例。张某,女,58岁,因双上臂、肩膀和臀部疼痛、僵硬伴低热一个月就诊。一个月前感乏力,低热,自以为感冒,未就医。一周后仍未见好转,遂到医院就诊。查体:心肺听诊正常,肌肉无压痛,关节无红肿畸形。辅助检查:血常规、尿常规、心肌酶谱、肝肾功能、类风湿因子、抗链“O”均正常。血沉76mm/h(毫米/小时),C-反应蛋白1.5毫克/升(正常参考值<0.8)。因诊断不明,给抗生素试验治疗,4 What is polymyalgia rheumatica Let us look at a case. Zhang, female, 58 years old, is suffering from pain in the upper arm, shoulders and buttocks, with stiff and fever for one month. Feeling tired a month ago, fever, think cold, not medical treatment. After a week has not improved, then went to the hospital. Examination: Cardiopulmonary auscultation normal, muscle tenderness, no joint swelling and deformities. Auxiliary examination: blood, urine, myocardial enzymes, liver and kidney function, rheumatoid factor, anti-chain “O ” are normal. ESR 76 mm / h (mm / h), C-reactive protein 1.5 mg / l (normal reference <0.8). Because of unknown diagnosis, to antibiotic trial treatment, 4