【病例】　女,3 6岁。因乏力半年,皮肤巩膜黄染半个月,伴不规则发热(最高3 9℃) ,全身瘙痒,腹胀,多汗,双膝关节活动时疼痛,于2 0 0 3年6月2 9日以黄疸、类风湿性关节炎入院。查体:全身皮肤、巩膜重度黄染,皮肤有感染性抓痕,部分溃破渗出;心肺检查未见异常;腹软,无压痛、反跳痛; [Case] ​​Female, 36 years old. Due to fatigue for half a year, the skin scleral yellow dye for half a month, with irregular fever (up to 39 ℃), systemic itching, bloating, hyperhidrosis, knee pain during knee joint activity, on June 29, 2003 Jaundice, rheumatoid arthritis admitted. Physical examination: systemic skin, sclera severe yellow dye, the skin infected with scratches, ulceration and exudation; no abnormal heart and lung examination; abdominal soft, no tenderness, rebound tenderness;