类风湿性关节炎(类风炎)由于病变累及全身结缔组织,故除关节炎外,常伴有关节外多系统表现,而合并甲状腺病变者少见,现将我院二例报告如下。例1 姚某,女,41岁,农民。患者因四肢小关节肿痛伴运动障碍十余年,颈粗伴心悸、多汗、食亢五月余,于1983年10月6日入院。十余年前开始,患者两手指近端指关节及足趾各关节发生红肿、疼痛、运动受限,伴有低热、乏力、纳差,腕、肘、踝、膝关节相继出现类似病变,并有关节附近肌肉萎缩。发病后经用强的松、保泰松等治疗五年,病情缓解。近二年来服药不规则,致病情加重,关节变形,生活不能自理。五月前开始感颈部发粗,心悸,多汗,体重减轻,脾气躁,食量较前明显 Rheumatoid arthritis (rheumatoid) As the lesions involving the whole body connective tissue, it is often accompanied by extra-articular multi-system performance in addition to arthritis, and those with thyroid lesions rare, now our hospital two cases are reported as follows. Example 1 Yao Mou, female, 41 years old, farmer. Patients due to limbs joint swelling and pain with dyskinesia more than ten years, with thick neck palpitations, sweating, food more than five months May, 1983 was admitted on October 6. More than ten years ago, patients with two fingers near the knuckles and toes joints swelling, pain, limited movement, accompanied by low fever, fatigue, anorexia, wrist, elbow, ankle, knee have similar lesions, and Muscle atrophy near the joints. After the onset of prednisone, phenylbutazone treatment for five years, the disease eased. In the past two years, taking medicine irregular, aggravating disease, joint deformation, life can not take care of themselves. May began before the neck thick hair, palpitations, sweating, weight loss, irritability, appetite significantly