1　病历简介男 ,19岁。因全身骨关节疼痛、发热 2月余伴会阴部皮肤针刺样疼痛及排尿困难 2周就医。 2月前无明确原因出现全身骨关节持续性隐痛 ,以胸廓、肩关节、髋关节、膝关节为著 ,伴双侧膝关节肿胀 ,左侧为著 ,尤以活动时加重 ,休息后可减轻 ,疼痛无明显放散。同时出现不规 1 medical records male, 19 years old. Because of the whole body bone and joint pain, fever in February with perineal skin acupuncture-like pain and urination 2 weeks for medical treatment. 2 months ago there was no clear cause of persistent osteoarthritis pain, thorax, shoulder, hip, knee joint, with bilateral knee swelling, the left is, especially in activity increased, rest can be reduced No significant pain relief. At the same time irregular