患儿男,14岁,以“双手遇冷变白、四肢红斑1年多,加重伴腹痛1个月”为主诉于2004年11月1日入院。入院前14个月,患儿于军训后出现头晕,四肢感觉异常,之后自觉左上肢活动受限,双手掌及双脚底渐渐出现点状红斑,压之不退色,双手双脚不能触碰,四肢端冰凉,受凉后双手指变白,当时无头痛 Male, 14 years old, with “both hands turned cold, erythema more than 1 year, aggravated with abdominal pain for 1 month” as the chief complaint on November 1, 2004 admission. Fourteen months prior to admission, the patient developed dizziness after the military training and all his limbs were abnormal. After that, his left upper limb was consciously restricted in activity. Both his palms and his feet tended to appear punctate erythema. His pressure was not fade. Hands and feet could not be touched. Cold at the end, cold fingers doubled when no headache