吴某,男,三岁,主因指趾关节逐渐肿胀,发热伴不能行走半年而住院。查体:左手四五指、右脚五趾呈棱形肿胀,触之疼痛,无热感,双脚不能站立,腋下淋巴结肿大,皮肤未见结节及红斑。其它各器官未见异常。治疗:经抗痨治疗一周后体温仍波动在37℃—38℃,指趾及踝关节肿胀不见消退,又见第四指关节肿胀;于住院第八天加服强地松5mg日三次,复方新诺明375mg日二 Wu, male, three years old, the main cause of pharyngeal joint swelling, fever can not walk for six months and hospitalized. Examination: left four fingers, right toe prismatic swelling, touching the pain, no heat, feet can not stand, armpit lymph nodes, the skin no nodules and erythema. No other organ abnormalities. Treatment: Anti-tuberculosis treatment one week after the body temperature still fluctuates between 37 ℃ -38 ℃, toe and ankle swelling disappeared, see also the fourth knuckle swelling; on the eighth day of hospitalization plus prednisone 5mg day three times, the compound Sunnuo 375mg two days