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患者,男,16岁。因双膝关节疼痛活动后加剧三年,半年来感乏力、双肘、腕、膝及踝关节渐肿大,四肢弯曲畸形,但关节无红热。病后曾八次就医于数家医院,未确诊。无多饮多尿,家族中无类似病史。BP120/80,站立姿呈“S”形,髋左凸,双膝皆右凸,步态摇晃。甲状腺不肿大,肘外翻,神经系统未见异常,血清氯114mEq/L,钙10.5～11.5mg/dl,磷1.9～2.1mg/dl,碱性磷酸酶140金氏单位,24小时尿钙241mg,尿磷607mg,肾小
Patient, male, 16 years old. Due to aggravating pain after knees joint activity for three years, six months to feel tired, double elbows, wrists, knees and ankles are swollen, limb flexion deformity, but the joints without red fever. Had eight times to seek medical treatment in several hospitals, not diagnosed. No more drink more urine, no similar family history. BP120 / 80, standing posture was “S” shape, hip left convex, both knees right convex, gait shaking. Thyroid enlargement, elbow valgus, nervous system showed no abnormalities, serum chloride 114mEq / L, calcium 10.5 ~ 11.5mg / dl, phosphorus 1.9 ~ 2.1mg / dl, alkaline phosphatase 140 units, 24 hours of urinary calcium 241mg, urinary phosphorus 607mg, kidney