患者 ,男 ,2 1岁 ,学生。因四肢关节肿痛 7年 ,腰背部疼痛、活动受限 5年入院。患者于 7年前无诱因出现右踝关节肿痛 ,后逐渐扩展至左踝关节、双膝关节、双髋关节、右肘关节和右腕关节 ,足跟痛。自服“扶他林、双氯灭痛 (剂量不详 )”后关节肿痛可缓解 ,停药后复发。于外院诊断 Patient, male, 2 1 year old, student. Due to joint swelling and pain of limbs for 7 years, low back pain, limited mobility for 5 years admitted to hospital. Patients developed a right ankle joint swelling painless for 7 years and then gradually extended to the left ankle, double knee, double hip, right and left wrist, and heel pain. Self-service “Fu Lin, Diclofenac (dose unknown)” after the joint swelling and pain can be relieved, relapse after stopping. In the hospital diagnosis