患者,男,53岁,因反复关节痛3年,加重伴发热2年入院。患者入院前3年无明显诱因反复出现右踝关节及双手指间关节疼痛肿胀,伴晨僵,无发热,无口腔溃疡,无脱发,无面部红斑。至我院就诊,确诊为类风湿性关节炎,给予药物治疗(具体不详),上述症状好转,患者于入院前2月无明显诱因出现双侧 Patients, male, 53 years old, suffered from joint pain for 3 years and aggravated with fever for 2 years. 3 years before admission, there was no obvious incentive for recurrent right ankle joint and double-finger joint pain swelling, with morning stiffness, no fever, no oral ulcers, no hair loss, no facial erythema. To our hospital for treatment, diagnosed with rheumatoid arthritis, given drug therapy (specifically unknown), the above symptoms improved, patients in February before admission no obvious incentive to bilateral