患者,女,37岁,工人。以类风湿关节炎收入院。患者四肢关节游走性疼痛,4年来反复发病3次。先后在3所医院按类风湿性关节炎治疗,消炎、抗风湿及对症处理可缓解。 查体:T38.4℃、P72次/min、R20次/min、BP14.8/9.7kPa,心肺(-),腹软,肝脾未触及。双侧大腿内侧各有一0.5cm×1.0cm及0.5cm×0.5cm的结节;左小腿伸侧亦有0.5cm×0.5cm皮下结节。活动差、表面皮肤充 Patient, female, 37 years old, worker. Rheumatoid arthritis income hospital. Patients with limb pain in walking pain, 4 times the incidence of repeated 3 times. In three hospitals by rheumatoid arthritis treatment, anti-inflammatory, antirheumatic and symptomatic treatment can be alleviated. Examination: T38.4 ℃, P72 times / min, R20 times / min, BP14.8 / 9.7 kPa, cardiopulmonary (-), abdominal soft, liver and spleen not touched. There are 0.5cm × 1.0cm and 0.5cm × 0.5cm nodules on the inner sides of the bilateral thighs, and 0.5cm × 0.5cm subcutaneous nodules on the extensorion of the left leg. Activities are poor, the surface of the skin charge