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1病历资料患者女,58岁,因“反复多关节肿痛3年,加重2个月”于2010-03-10入院。患者于3年前出现双腕关节、掌指关节和近端指间关节、膝关节肿痛,当地诊为类风湿关节炎(RA),长期服用中药及“特效药丸”治疗,关节症状时好时坏。入院前2个月关节肿痛加重,双膝关节肿痛明显。无发热和皮疹,无雷诺现象,无口眼干燥症状。查体:血压正常。轻度
1 patient data Patient female, 58 years old, because “repeated multi-joint swelling and pain for 3 years, increased 2 months ” admitted in 2010-03-10. Three years ago, patients presented with wrist joint, metacarpophalangeal joint, proximal interphalangeal joint and knee joint pain. Rheumatoid arthritis (RA) was diagnosed in the local area. Long-term use of traditional Chinese medicine and “special medicine pill” Good times and bad. 2 months before admission, joint swelling and pain, clear knee swelling and pain. No fever and rash, no Renault phenomenon, no dry mouth symptoms. Physical examination: normal blood pressure. Mild