患者，女，21岁。因不规则发热、游走性关节肿痛三年余，加重1周入院。患者3年前出现不规则发热，并伴游走性多关节痛和皮肤给节红斑。曾数次到多家乡镇卫生院诊治，均诊断为风湿性关节炎，服用多种抗风湿药物治疗，病情未见好转反日趋严重，身体日见虚弱，乏力、贫血。一直未 Patient, female, 21 years old. Due to irregular fever, swollen joint swelling and pain more than three years, increased 1 week admission. Patients with irregular fever 3 years ago, and accompanied by vaginal joint pain and skin erythema multiforme. Has several times to a number of township hospitals for diagnosis and treatment, were diagnosed with rheumatoid arthritis, taking a variety of anti-rheumatic drugs, the disease has not seen an increasingly serious anti-aging, the body has seen weakness, fatigue, anemia. Never been