病历摘要李×,女,64岁,农民。因足趾反复溃烂7年,加重伴低热、乏力2周,于1983年2月17日入院。患者从1976年起出现左右足趾溃烂、肿痛、坏死。曾按“脉管炎”治疗,右足趾溃烂好转结痂,遗留暗褐色皮肤色素,左足趾则反复不愈。1980年因足趾肿痛明显,白细胞增高住院治疗。入院后发现肝大肋下4厘米,脾未触及,白细胞数3～4万,尿常规阴 Medical record Li ×, female, 64 years old, farmer. Due to repeated toe ulceration for 7 years, aggravated with fever, fatigue for 2 weeks, on February 17, 1983 admission. Patients from about 1976 appear about toe ulceration, swelling and pain, necrosis. According to “vasculitis” treatment, improvement of the right toe ulceration scab, left dark brown skin pigment, the left toe repeatedly unhealed. In 1980 due to obvious toe pain, hospitalized leukocytosis. Found after admission to the great ribs 4 cm, spleen not touched, white blood cell count 3 to 40,000, urine routine yin