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病例摘要患儿,男,5岁,四肢大关节游走性肿痛半年入院。半年前上感发烧两天,伴咽痛及咳嗽,热退后左肩关节痛15天,痛止后右膝关节肿痛5天,间隔10天,左膝关节出现肿痛3天,此后双膝关节交替肿痛4月余,曾按结核治疗,病情时轻时重不愈。20天前右膝关节又肿痛,活动受限,来院确诊,病程中渐消瘦,面色略苍白,缓解期玩耍如常,皮肤无出血点,红斑及结节。既往无风湿病及结核史。
Case summary Children, male, 5 years old, swollen and swollen limbs joints and six months admission. Half a year before the fever on two days, with sore throat and cough, heat back left shoulder pain for 15 days after pain, right knee pain and swelling pain after 5 days, 10 days interval, left knee joint swelling and pain for 3 days, then knees Joint swelling and pain more than 4 months, had tuberculosis treatment, the condition of light heavy non-healing. 20 days ago the right knee and swelling pain, limited mobility, to hospital diagnosis, the course of the gradual weight loss, pale complexion, play a normal remission, no bleeding skin, erythema and nodules. Past history of rheumatism and tuberculosis.