1　病例介绍患者男性 ,5 3岁。因四肢关节红肿酸痛伴发热 10天 ,于2 0 0 1年 5月 12日入院。患者于入院前 10天无明显诱因出现四肢关节红肿酸痛 ,活动受限 ,局部皮肤温度升高 ,伴畏寒发热 ,就诊于上海某医院 ,拟诊为风湿热 ,淋巴瘤。给予降温激素抗炎等处理后症状有所好转 ,但? 1 case description Male patient, 5 3 years old. Due to limbs and joints swelling and pain with fever for 10 days, on May 12, 2001 admission. Ten days prior to admission, there was no obvious incentive for patients to have joint swelling and pain in joints and limbs. Activities were limited. Local skin temperature was elevated. With chills and fever, they were referred to a Shanghai hospital for rheumatic fever and lymphoma. Given the anti-inflammatory treatment of hypothermia symptoms have improved, but?