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魏××,女,55岁,反复关节疼痛20余年,疼痛以肩关节,膝关节明显,无游走性,无关节红肿及发热,无皮下结节与环形红斑。1983年曾出现晕厥,心电图示1度房室传导阻滞,血况70～90mm/h,RF(+),多次住院及门诊诊断为“风湿热、风湿性心肌炎”。服用激素后,血沉正常;停后血况持续增快。近2年出现指关节轻度晨僵,活动后能好转。1年来感口干,眼干,本次以“关节痛待查”再次入院。
Wei × ×, female, 55 years old, repeated joint pain for more than 20 years, pain in the shoulder, knee joint obvious, no migration, no joint swelling and fever, no subcutaneous nodules and annular erythema. Syncope occurred in 1983, ECG 1 degree atrioventricular block, blood condition 70 ~ 90mm / h, RF (+), multiple inpatient and outpatient diagnosis of “rheumatic fever, rheumatic myocarditis.” After taking hormones, erythrocyte sedimentation rate is normal; after stopping blood speed continues to increase. In the past two years, there was mild morning stiffness in the joints, which improved after the activity. 1 year dry mouth, dry eyes, the current “joint pain to be investigated” again admitted to hospital.