患者女,42岁,住院号28964。因反复关节肿痛9年,面部皮损1月入院。患者于1983年7月明显诱因出现全身关节持续性酸痛并逐渐加重,1年后右拇趾关节肿胀、疼痛,并逐渐出现关节肿胀、疼痛,活动受限。在某医院诊断为“类风湿性关节炎”,经治疗病情缓解。此后出现对光敏感、脱发、口唇干燥、牙齿脱落,吞咽固体食物需借水帮助。1月前鼻翼两侧出现红色皮疹,痒、痛,并融合成片。门诊以“系统性红斑狼疮”收住入院。 体查:消瘦面容,全身皮肤干燥,弹性差,毛发稀疏,鼻 Female patient, 42 years old, hospitalization number 28964. 9 years due to repeated joint swelling and pain, facial lesions in January admission. In July 1983, the patient was obviously predisposed to persistent joint pain and became gradually aggravated. After 1 year, his right joint had swelling and pain, and joint swelling and pain were gradually developed. In a hospital diagnosed as “rheumatoid arthritis”, the treatment of remission. Since then light sensitive, hair loss, dry lips, tooth loss, swallowing solid food needs water help. A red rash, itchy, painful and flaky red on both sides of the nose a month ago. Clinic to “systemic lupus erythematosus” admitted to hospital. Physical examination: wasting face, dry skin, poor elasticity, sparse hair, nose