病历摘要见笫9期486页。临床讨论从病史和临床表现及实验室检查,本病例有以下几个特点:①男性小年患者;②长期间歇性不规则发热伴皮疹、四肢关节肿痛4年;③脾肿大,但随体温的变化而变化,无淋巴结肿大;④血沉加快,粘蛋白、周围血象增高;⑤疟原虫、狼疮细胞、类风湿因 The medical record summary see the ninth period of 486 pages. Clinical discussion from the history and clinical manifestations and laboratory tests, the case has the following characteristics: ① male young patients; ② long-term intermittent irregular fever with rash, limbs and joints swelling and pain for 4 years; ③ splenomegaly, but with Temperature changes and changes, no lymphadenopathy; ESR faster, mucin, peripheral blood increased; ⑤ malaria parasite, lupus cells, rheumatoid factor