王××,男,50岁,干部,住院号77059。因两下肢色素沉着性紫癜伴多发性关节疼痛反复发作10余年,于1981年6月17日入院。患者自1971年以来,两下肢经常反复出现散在性紫癜,尤以膝关节以下显著,自觉患肢麻木酸痛,久站或行走过多时加重,休息后紫癜自行消退,残留褐色色素沉着,常感头晕,全身乏力困倦,偶有鼻、龈衄血。既往有类风湿性关节炎病史,1958年行右膝关节腔刮片病理活检为“类风湿性关节炎病变”。家族中无类似 Wang × ×, male, 50 years old, cadre, hospital number 77059. Due to the two lower extremities pigmented purpura with multiple joint pain recurrent episodes of more than 10 years, in June 17, 1981 admission. Patients since 1971, both lower extremities often recurrent purpura, especially in the knee significantly below the conscious paralysis numbness pain, long standing or walking too much aggravating, purpura self-recuperation after rest, the residual brown pigmentation, often dizziness , General fatigue sleepy, occasional nose, gingival blood. Past history of rheumatoid arthritis, 1958 line right knee cavity biopsy biopsy as “rheumatoid arthritis lesions.” No similar in the family