病历摘要吴××,男性,44岁。住院号30849。患者于1980年1月发生双肩关节酸痛。入院前半个月开始发热、畏冷及全身关节酸痛,数日后,皮肤出现散在红色皮疹,并伴有肝区不适、食欲不振等,于3月31日入院。体检:体温正常。皮肤巩膜无黄染。脸部、躯干及肢体均可见散在暗红色不规则皮疹,脸部无蝶形 Medical history Wu × ×, male, 44 years old. Hospital number 30849. The patient developed shoulder joint pain in January 1980. Few days before the onset of fever, chills and body aches, a few days later, the skin scattered red rash, accompanied by liver discomfort, loss of appetite, etc., were admitted on March 31. Physical examination: body temperature is normal. Skin sclera without yellow dye. Face, trunk and limbs are visible scattered irregular dark red rash, no butterfly face