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患者男性,41岁,农民。因胸闷、气促9天于1991年8月14日入院,拟“结核性胸膜炎”而收住我科。患者右侧(足母)趾关节反复出现红、肿,并伴有局部发热、疼痛感15年。每次发作服消炎痛及强的松5～7天后,症状和体症缓解。曾在院外诊断为“类风湿性关节炎”,经常服用消炎痛、布洛芬、强的松、雷公藤及中草药治疗。体检:T37℃,P110次/分,R26次/分,BP18/12kPa。右耳廓见小结节,左侧肩胛角以下叩诊浊音,语音减弱,呼吸音稍失,双趾关节变形,右(足母)趾关节外及双踝部有大小不等5～6个结节。血Hb83g/L,WBC4×10~9/L,ESR75mm/h,血尿酸892.2μmol/L,尿素氮8.6mmol/
Male patient, 41 years old, farmer. Due to chest tightness, shortness of breath 9 days in August 14, 1991 admission, to be “tuberculous pleurisy” and admitted to our department. Right side of the patient (foot mother) toe joints repeatedly red, swollen, and accompanied by local fever, pain 15 years. Each episode of indomethacin and prednisone 5 to 7 days after the symptoms and signs relieve. Had diagnosed in the hospital as “rheumatoid arthritis”, often taking indomethacin, ibuprofen, prednisone, triptolide and Chinese herbal medicine treatment. Physical examination: T37 ℃, P110 beats / min, R26 beats / min, BP18 / 12kPa. Right auricle, see the small nodules, the left shoulder angle below the percussion dull phonetic sounds weakened, breath sounds slightly lost, toe joint deformation, the right (foot mother) toe joints and double ankle sizes ranging from 5 to 6 knots Festival. Blood Hb83g / L, WBC4 × 10 ~ 9 / L, ESR75mm / h, uric acid 892.2μmol / L, urea nitrogen 8.6mmol /