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1病例资料女,46岁。因间断对称性四肢多关节肿痛伴晨僵2个月入院。2个月前因劳累后出现咳嗽、咳痰,胸痛、畏寒、高热40℃,伴双手指关节疼痛,就诊于石市某院,查胸部CT示右下肺高密度影。诊断为右下肺炎,予抗感染治疗2周,咳嗽略好转,但仍低热。1个月后再次出现双手近端指关节、双
1 case information Female, 46 years old. Due to intermittent symmetry limbs and joint swelling and pain with morning stiffness 2 months admission. 2 months ago due to fatigue after cough, sputum, chest pain, chills, fever 40 ℃, with both hands and fingers pain, visit a stone hospital, check the chest CT showed right lower lung high density. Diagnosis of right lower pneumonia, anti-infection treatment for 2 weeks, cough slightly better, but still low in fever. Appeared again after 1 month proximal knuckles, double