患者女,51岁。因反复发热1个月,四肢远端麻木、疼痛8 d于2013年7月30日入院。患者于1个月前受凉后出现发热、咽痛,体温最高达39.0℃,在多家医院就诊抗感染治疗,均无效。至2013年7月22日晚,患者无明显诱因突然出现双侧上肢腕关节以下至手指末端麻木,伴从指端向腕关节的放射性疼痛,次日晨逐渐发展至出现双 Female patient, 51 years old. Due to repeated fever for 1 month, distal limb numbness, pain 8 d on July 30, 2013 admission. The patient developed fever and sore throat after a cold one month ago, with a maximum body temperature of 39.0 ° C. Treatment in many hospitals was not effective. To the evening of July 22, 2013, the patient had no obvious cause of sudden emergence of bilateral upper extremity wrist to the end of the numbness of the fingers, with radiofacial pain from the finger to the wrist joint, the next morning gradually developed to double