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患者女， 16岁，因面部、眼睑肿胀 2个月，肌痛无力 2周入院。患者 2个月前无明显诱因出现面部、双眼睑及上唇肿胀，抗过敏治疗无效。就诊前 2周感四肢肌肉酸痛无力，上楼及下蹲后起立困难，吞咽正常。就诊前 3 d出现发热，肌痛加重伴双膝关节痛。 体检：体温 37.8℃，各系统
Female patient, 16 years old, swelling of the face and eyelid for 2 months, muscular weakness 2 weeks admitted. Patient 2 months ago no obvious incentive to appear facial, double eyelid and upper lip swelling, anti-allergy treatment ineffective. 2 weeks before treatment, feeling limb muscle pain, weakness, standing upstairs and squat after standing up, swallowing normal. 3 days before treatment, fever, increased muscle pain with knee pain. Physical examination: body temperature 37.8 ℃, the system