男,50岁,住院号17568。因左踝关节突然剧烈疼痛红肿、不能行走3天,于1983年1月13日入院。患者于1977年开始不明原因右踝关节于夜间突然剧烈疼痛,继之局部明显红肿、发热,活动受限。伴有轻微发热,周身乏力,头痛,每年发作2～3次,每次3～7天症状逐渐消失。1979年以后未再发作。但左踝关节开始出现上述症状。曾诊断为“丹毒”、“蜂窝组织炎”。有饮酒嗜好及尿路结石史,家族中无类似病史。体查:一般内科体检无异常发现。左踝关节局部明显肿胀,呈桃红色,发亮,微热,边缘清楚,触痛 Male, 50 years old, hospital number 17568. Left ankle sudden severe pain due to swelling, can not walk for 3 days, January 13, 1983 admission. The patient started an unexplained sudden right pain in his right ankle joint at night in 1977, followed by a marked redness, fever and limited mobility. With mild fever, whole body fatigue, headache, seizures 2 to 3 times a year, each 3 to 7 days symptoms gradually disappear. No further episodes after 1979. However, the left ankle began to show the above symptoms. Had diagnosed as “erysipelas”, “cellulitis.” Have alcoholism and urinary tract stones history, no similar family history. Physical examination: General medical examination found no abnormalities. Local left ankle swelling was obvious, pink, shiny, slightly warm, clear edge, tenderness