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患者男,19岁,于1985年2月第5次住院。患者从8岁起反复发热,每次均在上感之后,伴下肢皮疹、腓肠肌疼痛,曾4次住院,诊断为风湿病,用强的松治疗,病情好转出院。本次住院前半月曾发生咽痛、发热。查体:体温39℃,脉搏84次/分,呼吸24次/分,血压120/80mmHg。消瘦,右面颊部可见一明显结节,双手背及小腿屈侧可见大小不等的网状瘀斑,部
Male patient, 19 years old, was hospitalized for the fifth time in February 1985. Patients from the age of 8 repeated fever, each time after feeling, with lower extremity rash, gastrocnemius pain, had 4 hospitalizations, diagnosed with rheumatism, with prednisone treatment, the condition improved and discharged. The hospitalized sore throat occurred before half a month, fever. Physical examination: body temperature 39 ℃, pulse 84 beats / min, breathing 24 beats / min, blood pressure 120 / 80mmHg. Weight loss, the right cheek visible a nodular, both hands and calf flexion can be seen in varying sizes of the network ecchymosis, Department