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患者男性,18岁,农民。因游走性四肢大关节疼痛8个月、双侧面颊部肿块及眼睑肿胀3个月,于1985年5月16日入院。自1984年9月起反复出现四肢大关节游走性疼痛,伴有红肿、活动障碍,可自行缓解。当地卫生院诊断为,“风湿性关节炎”,经治疗未见效。3个月前发现两侧面颊部肿块,逐渐增大如鸡蛋大。无压痛,同时出现两眼上下眼睑肿胀。2个月来,躯干、四肢皮肤出现散在淡红色结节,无痛痒,前额部出现两个质硬如核桃大小无痛性肿块。伴有发热、乏力、头昏、眼花、出汗等症状。无鼻衄及齿龈出血现象。
Male patient, 18 years old, farmer. Due to migratory limb pain and joint pain for 8 months, bilateral buccal mass and eyelid swelling for 3 months, on May 16, 1985 admission. Since September 1984 recurring limbs joints walk pain, accompanied by swelling, movement disorders, can ease. Local hospitals diagnosed as “rheumatoid arthritis”, after treatment did not work. Three months ago found cheeks on both sides of the lumps, and gradually increased, such as large eggs. No tenderness, while the upper and lower eyelid swelling. 2 months, torso, limbs appear pink nodules scattered in the skin, no itch, the forehead appears two hard as walnut-sized painless mass. Accompanied by fever, fatigue, dizziness, vertigo, sweating and other symptoms. No nose and gingival bleeding.