宋×,女,4(1/2)岁,因持续发热十二天,左膝关节疼痛伴皮下结节三天于1985年3月28日入院。在外院曾诊为“风湿热”。既往无类似病史。入院查体:一般情况尚可。头顶部触及二个、后颈部二个、双上臂内侧各三个、双下肢五个黄豆至花生米大小皮下结节。以股后部最多,与皮肤无粘连。可活动,界限清楚,有压痛。结节表面皮肤 Song ×, female, 4 (1/2) years old, with persistent fever for 12 days and left knee pain with subcutaneous nodules for three days on March 28, 1985. Outside the hospital has been diagnosed as “rheumatic fever.” No previous history of similar. Admission examination: the general situation is acceptable. Touched the top of the head two, two after the neck, the upper arm of the inner three, two lower limbs five peanuts to peanut size subcutaneous nodules. The most posterior part, with no adhesion to the skin. Activities, clear boundaries, tenderness. Nodular surface of the skin