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患者,男,52岁,颜面浮肿,泡沫尿8个月。于1990年12月入院。临床诊断肾病综合征Ⅱ型,病理诊断膜性肾病Ⅱ型。应用强的松、雷公藤多甙治疗后,病情缓解出院。于1991年5月出现高热达39℃以上,且伴右膝关节红、肿、热、痛。二次入院体温39.8℃,急性热病容,心率123次/分,音清律齐,腹平软,肝、脾(一),右膝关节红肿,并在腘窝处皮下有一硬结8×8cm~2。WBC3100/mm~3,N85％,L15％,24小时尿蛋白1.2g,SCr0.9mg％。胸片左下肺纹理增强,听诊无罗
Patient, male, 52 years old, face edema, foam urine for 8 months. In December 1990 admitted. Clinical diagnosis of nephrotic syndrome type Ⅱ, pathological diagnosis of membranous nephropathy Ⅱ. Application of prednisone, Tripterygium glycosides after treatment, the disease was relieved and discharged. In May 1991 fever over 39 ℃ above, and with the right knee red, swollen, hot, pain. Secondary admission temperature 39.8 ℃, acute fever, heart rate 123 beats / min, sound clear law Qi, abdominal soft, liver, spleen (a), right knee swelling, and in the popliteal subcutaneous there is a hard knot 8 × 8cm ~ 2. WBC3100 / mm ~ 3, N85%, L15%, 24 hours urinary protein 1.2g, SCr0.9mg%. Chest lower left lung enhancement, no auscultation