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患者男性,印尼籍华人,因颈背反复疼痛伴手足指关节变形8 年,专程回国求医,于1991年12月22日住入本院。入院体检:外观消瘦,心肺未见异常,肝脾无肿大,颈部关节强直,活动受限,无法前屈,手指关节畸形,呈梭状肿大,右足拇趾外侧曾有一结节状物,鹅蛋大小,入院前一个月在上海某医院作切除,病理报告为“滑膜炎呈瘤样增生”,拟诊为“类风湿性关节炎”,并以雷公藤等药物治疗一疗程,症状无明显好转。
Male patients, Indonesian Chinese, because of repeated neck pain with hand and foot joint deformation for 8 years, made a special trip back to China for medical treatment, in December 22, 1991 admitted to our hospital. Admission examination: the appearance of weight loss, no abnormal heart and lung, liver and spleen no enlargement, neck joint stiffness, limited mobility, unable to flexion, finger joint deformity, shuttle-shaped swollen, , Goose egg size, a month before admission in a hospital in Shanghai for removal, the pathological report as “synovitis was tumor-like hyperplasia,” diagnosed as “rheumatoid arthritis,” and Tripterygium and other drugs for a course of treatment, No significant improvement in symptoms.