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患者,女,56岁,出租汽车司机。于1983年始出现受寒后左肘关节疼痛伴局部红,肿、热,重时有晨僵现象,活动受限。曾先后诊为“骨质增生”、“骨关节结核”,经治疗效果不著,病情日渐加重,关节症状波及右肘、双膝。1988年6月疑诊为类风湿性关节炎,服用昆明山海棠片(12片/日)5个月无显效。11月2日入我院,既往体健。 [体检]双侧肘膝关节对称性红、热、梭形肿胀,伸屈旋转功能受限,双侧肘关节处于半屈曲位,双侧膝关节浮膑试验(+),余未见异常。
Patient, female, 56 years old, taxi driver. In 1983 began to appear after the cold left elbow joint pain with local red, swollen, hot, heavy morning stiffness phenomenon, limited activity. Has been diagnosed as “bone hyperplasia”, “bone and joint tuberculosis”, the treatment effect is not, the condition is getting worse, joint symptoms spread to the right elbow, knees. June 1988 suspected rheumatoid arthritis, taking Kunming Begonia Tablets (12 / day) 5 months no effect. November 2 into our hospital, previous physical health. [Physical examination] symmetrical bilateral elbow knee swelling of red, hot, fusiform, flexion and extension rotation limited, bilateral elbow flexion in the knee position, bilateral knee floating 膑 test (+), I no abnormalities.