教授:今日教学查房的病例为复发性多软骨炎(Relapsing Polychondritis,RP),并类风湿性关节炎,现请报告病历。主治医师:男,66岁,干部。于1991年4月5日入院。患者一年前冬季因受凉后右耳起红结节肿胀,自认为冻伤;7～8个月前无诱因出现关节肿、红、疼痛,以两手指关节重,次之为腕、膝关节,并有皮疹、发热,诊断为风湿热,为此应用静滴地塞米松和抗菌素3周余,关节红肿全消,皮疹和耳翼肿胀亦消退,乃停用激素,停后渐有咳嗽、少量白痰;5～6个月来喘气“粗”,活动有气急感,声音嘶哑,夜睡觉后喉部有吼鸣,曾数次到医院检查诊为喘息型支气管炎,用抗生素及平喘药后,症状有减轻。病情常自行缓解和增重,每次病情增重则有明显咳喘,常伴有 Professor: Today teaching rounds of cases of recurrent polychondritis (Relapsing Polychondritis, RP), and rheumatoid arthritis, please report the medical record. Attending physician: Male, 66 years old, cadre. On April 5, 1991 admitted. Patient a year ago due to cold after the right ear red nodular swelling, self-described frostbite; 7 to 8 months ago, there was no incentive to cause joint swelling, red, pain, with two fingers joint weight, followed by the wrist, knee, And rash, fever, diagnosed as rheumatic fever, for this application of intravenous infusion of dexamethasone and antibiotics more than 3 weeks, the joint swelling and elimination of all, rash and ear swelling also subsided, is the withdrawal of hormones, stopping cough, a small amount White sputum; 5 to 6 months to breathe “rough”, activities have gas urgency, hoarseness, night after sleep throat roar, had several times to the hospital for diagnosis wheezing bronchitis, with antibiotics and antiasthmatic drugs After the symptoms have eased. Condition often relieve and weight gain, each time there is significant cough and disease weight gain, often accompanied