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1 病例摘要例1,男,12岁。因反复发热伴关节肿痛、活动障碍6年入院。体检:慢性病容,体重19kg。颈椎活动受限,脊柱侧弯,双肘肿胀挛缩,双腕强直,指关节梭形肿胀强直,双膝肿胀挛缩,双踝稍肿。浅表淋巴结可及,心肺无殊,肝肋下未及、剑下1.5cm、质中,脾肋下7cm、质硬、无压痛、表面光滑。血红蛋白67g/L,血小板134×10~9/L,白细胞9.8×10~3/L,中性粒细胞0.66,淋巴细胞0.34,网织红细胞 0.008。抗“O”>500U,血沉 145mm/h,C—反应蛋白阳性,类风湿因子阴性,抗核抗体
1 case summary 1, male, 12 years old. Due to repeated fever with joint swelling and pain, movement disorders admitted to hospital for 6 years. Physical examination: Chronic disease, weight 19kg. Cervical spine movement is limited, scoliosis, elbow swelling and contracture, wrist ankylosis, refers to the joint spine swelling straight, swelling and contracture knees, double ankle swollen. Superficial lymph nodes are available, no cardiopulmonary special, under the liver ribs, sword 1.5cm, quality, spleen ribs 7cm, hard, no tenderness, smooth surface. Hemoglobin 67g / L, platelet 134 × 10 ~ 9 / L, white blood cells 9.8 × 10 ~ 3 / L, neutrophils 0.66, lymphocytes 0.34, reticulocytes 0.008. Anti-“O”> 500U, ESR 145mm / h, C-reactive protein positive, rheumatoid factor negative, anti-nuclear antibody