我院将结核性风湿病误诊为风湿性关节炎两例,现举一例讨论如下: 患者男,27岁。主诉:发热、游走性关节肿痛伴下肢起红斑,多汗、心悸感半个月。平素健康,无咳嗽、咯血史。查体:T37.6℃,浅表淋巴结无肿大。咽部无充血,双侧扁桃体Ⅰ度肿大,无充血及脓栓。心率110次,律齐,第一心音低钝,无杂音。双膝、踝及肩关节轻微红肿压痛。下肢见有散在性结节性红 My hospital will be misdiagnosed tuberculous rheumatoid arthritis as two cases of rheumatoid arthritis, are as follows to discuss one case as follows: Male patient, 27 years old. Chief complaint: Fever, migratory joint swelling and pain with lower extremity erythema, hyperhidrosis, palpitations half a month. Usually healthy, no cough, hemoptysis history. Physical examination: T37.6 ℃, superficial lymph nodes without swelling. Throat no congestion, bilateral tonsil Ⅰ degree enlargement, no congestion and suppository. Heart rate 110 times, law Qi, the first heart sound low blunt, no noise. Slight redness and tenderness in knees, ankles and shoulder joints. Lower extremity see scattered nodular red