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病例报告:女,63岁,因低热、关节痛17年,口眼干燥10年,蛋白尿5个月入院。患者17年前开始出现间断低热,指间关节痛,口腔溃疡,双下肢皮肤紫癜,光照皮肤起疹。10年前出现口眼干燥,反复患腮腺炎,5个月前,出现尿蛋白(++)。查体:血压21/14kPa,粘膜干燥,雷诺氏征阳性,双下肢散在瘀点及紫癜;实验室检查:血红蛋白90g/L白细胞3.2×10~9/L,尿蛋白(++),为非选择性蛋白尿,血沉30mm/h,类风湿因子1:
Case report: Female, 63 years old, due to fever, arthralgia for 17 years, mouth dry 10 years, proteinuria 5 months admission. 17 years ago, patients began to appear intermittent fever, inter-finger joint pain, mouth ulcers, purpura, lower extremity skin, light skin rash. 10 years ago, mouth dry mouth, mumps repeatedly, 5 months ago, urinary protein (++). Examination: blood pressure 21 / 14kPa, dry mucous membrane, positive Raynaud’s syndrome, both lower extremity scattered petechiae and purpura; laboratory tests: white blood cells of hemoglobin 90g / L 3.2 × 10 ~ 9 / L, urine protein Selective proteinuria, erythrocyte sedimentation rate 30mm / h, rheumatoid factor 1: