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患者,女,74岁。因“对称性多关节肿痛5月余”于2015年6月29日入院。入院症见:双手近端指间关节、掌指关节、腕、肘、肩、膝、踝关节疼痛,屈伸不利。口咽干燥,饮食睡眠二便正常。体格检查:体温36.5℃,血压146/84mm Hg。患者双手近端指间关节、掌指关节、腕、肘、肩、膝、踝关节压痛,双膝关节骨磨擦音阳性,双下肢凹陷性水肿,无结节性红斑,无口腔溃疡。否认药食物过敏史,否认接触物过敏史。辅助检查:RF
Patient, female, 74 years old. Symptoms of “Symmetric polyarthralgia more than 5 months” was admitted on June 29, 2015. See admission disease: hands near the proximal interphalangeal joint, metacarpophalangeal, wrist, elbow, shoulder, knee, ankle pain, flexion and extension unfavorable. Oropharyngeal dry, normal diet and sleep two times. Physical examination: body temperature 36.5 ℃, blood pressure 146/84 mm Hg. The hands of both hands proximal interphalangeal joint, metacarpophalangeal joint, wrist, elbow, shoulder, knee, ankle tenderness, bilateral knee rub sound positive, double lower extremity edema, no erythema nodosum, no oral ulcer. Denied the history of drug allergy, denied the history of contact allergies. Auxiliary examination: RF