董××,女,36岁,浙江镇海农民,住院号92103。近2年来患者感头晕、乏力、怕冷,同时感颜面及下肢轻度浮肿,且伴四肢关节酸痛,呈游走性,但不伴发热,也无关节肿胀和残留关节畸形,唯在肢体活动时有板紧感觉。既往史、个人史及家族史均无特殊。生育3胎。入院体检:体温37℃,脉搏80次,血压120/80。发育正常,营养欠佳,面部虚肿,表情呆板,呈假 Dong × ×, female, 36 years old, Zhejiang Zhenhai farmers, hospital number 92103. In the past two years, the patient felt dizzy, weak and cold, feeling facial and mild edema of the lower extremities, accompanied by pain in the limbs and joints, showing migratory but without fever and joint swelling and residual joint deformity. When the plate tight feel. Past history, personal history and family history are no special. 3 births. Admission medical examination: body temperature 37 ℃, pulse 80 times, blood pressure 120/80. Normal development, poor nutrition, facial swelling, dull expression, was fake