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例1,女,11岁,汉族。因右膝关节、两踝关节肿痛1月,当地按风湿病治疗无效而住院。体检:T37.3℃,营养一般,心肺听诊无异常。右膝关节及双侧踝关节肿胀明显,活动受限,双膝浮骸试验(-)。血Hb 110g/L,RBC 3.8×10~(12)/L,WBC 9.2×10~9/L,N70％,ESR 45mm/h,C反应蛋白<12.5μg/ml,ASO及RF(-),PPD 18mm×18mm,胸片示右肺门淋巴结结核,诊断为Poncet氏综合征,给正规抗结核治疗,2周后关节肿痛消失,3周后出院继续治疗1年,随访2
Example 1, female, 11 years old, Han nationality. Due to the right knee, two ankle joint swelling and pain in January, the local treatment of rheumatism invalid and hospitalized. Physical examination: T37.3 ℃, general nutrition, cardiopulmonary auscultation no abnormalities. Right knee and bilateral ankle swelling significantly, limited mobility, knee scavenger test (-). Blood Hb 110g / L, RBC 3.8 × 10-12 / L, WBC 9.2 × 10-9 / L, N70%, ESR 45mm / h, C reactive protein <12.5μg / ml, ASO and RF PPD 18mm × 18mm, chest X-ray showed right hilar lymph node tuberculosis, diagnosis of Poncet’s syndrome, to regular anti-TB treatment, 2 weeks after the joint swelling and pain disappeared, 3 weeks after discharge to continue treatment for 1 year, followed up 2