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患者女,25岁,于1979年3月17日入院。两年前冬,手脚受冷后红肿伴关节疼痛,遇热即可缓解。一年后症状逐渐加重,同时出现低热、脱发、四肢酸软无力、食欲减退、面部蝶形红斑及闭经等,在县医院诊为“风湿热”,经多种治疗无效而入本院。患者4岁时曾患小舞蹈症,治愈后未复发。无特殊家族史。体检:体温36.3℃,心率82次,呼吸20次,血压140/110。急性病容,头部毛发稀疏、枯黄,面部蝶形红斑。双手指端毛细血
Female patient, 25 years old, was admitted to hospital on March 17, 1979. Two years ago in winter, my hands and feet were swollen with joint pain after the cold, when the heat can be alleviated. A year later the symptoms gradually aggravated, accompanied by fever, alopecia, limb weakness, loss of appetite, facial butterfly erythema and amenorrhea, etc., in the county hospital diagnosed as “rheumatic fever”, after a variety of treatment ineffective into the hospital. The patient had minor chorea at age 4 and did not relapse after healed. No special family history. Physical examination: body temperature 36.3 ℃, heart rate 82 times, breathing 20 times, blood pressure 140/110. Acute illness, thinning hair, yellow, facial butterfly erythema. Finger fingertips capillary