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病历摘要樊××,女,28岁,住院号292569。1987年6月5日入院.8年前开始间断发热、皮肤红斑,以面颊部明显。当地医院诊为“伤寒”,治疗无效。3年前症状加重,伴关节痛、下肢浮肿,被诊为“关节炎”、“肾炎”,用强的松治疗病情好转.因停药症状复发并出现昏迷,被诊为“化脓性脑膜炎,入院前10余天因右胸前壁出现红肿,强的松渐减直至停药.发热、皮肤红斑、关节痛、下肢水肿再显并日渐加重,转来我院.既往身体健康,家族中无类似病史。闭经4月.入院时体检:全身皮肤显散在紫色斑疹,两面颊部明显.眼睑轻度肿胀、颈软,右前胸壁上
Summary of medical records Fan × ×, female, 28 years old, hospital number 292569. June 5, 1987 admitted to hospital 8 years ago began intermittent fever, skin erythema, with obvious cheeks. Local hospital diagnosed as “typhoid fever”, treatment is invalid. 3 years ago, the symptoms worsened, with joint pain, lower extremity edema, was diagnosed as “arthritis”, “nephritis”, treated with prednisone improved condition .Sause withdrawal symptoms recurrence and coma, was diagnosed as "purulent meningitis , More than 10 days before admission due to the right chest anterior wall swelling, prednisone gradually reduced until withdrawal .Heat fever, skin erythema, joint pain, lower extremity edema again and gradually increased, transferred to our hospital .Previous health, no family A similar history. Amenorrhea in April. Physical examination on admission: systemic skin was scattered in the purple rash, both cheeks obvious. Eyelid mild swelling, soft neck, right anterior chest wall