患儿女,11岁,因不规则发热伴游走性关节痛2个月,发作性意识模糊伴惊恐月余就诊。惊恐发作时,患儿双手紧抱大人,惊呼害怕,伴流泪、面色潮红、多汗及呼吸急促,约1分钟自行缓解,清醒后对发作时的情况无记忆。每日发作3～5次,发作后如常人,其惊恐发作与发热无明显规律。查体:体温39℃,神经系统检查(一)。膝关节周围及脊柱两侧可触及移动的5～151mm皮下结节7个,左下肢近端可见约1cm大的环形红斑。周围血象:白细胞15000/mm~3,中性90%,淋巴10%;血沉50mm/h,抗链球菌溶血素“O”1250u,C反应蛋白(+),粘蛋白含量测定两次均大于7mg%,蛋白电泳:γ球蛋白21%。脑电图示双顶枕阵发性出现110～230mv和4～70节律,间有阳 Children with children, 11 years old, due to irregular fever with migratory arthritis 2 months, episodic confusion with panic and more than months of treatment. Panic attack, children with both hands clinging to adults, exclaimed scared, with tears, looking flushing, sweating and shortness of breath, about 1 minute self-remission, after the onset of wakefulness no memory. Attack 3 to 5 times a day, as usual after the attack, the panic attack and fever no obvious law. Physical examination: body temperature 39 ℃, nervous system examination (a). Around the knee and spine can move on both sides of the 5 ~ 151mm subcutaneous nodules 7, near the left lower extremity can be seen about 1cm large annular erythema. Peripheral blood: white blood cells 15000 / mm ~ 3, 90% neutral, lymphatic 10%; erythrocyte sedimentation rate 50mm / h, anti streptolysin “O” 1250u, C reactive protein %, Protein electrophoresis: γ-globulin 21%. EEG double top pillow Occurrence of paroxysmal 110 ~ 230mv and 4 to 70 rhythm, between Yang