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患者,女,28岁,因间歇性颜面、双下肢脬肿并关节疼痛4年余而入院。曾于95年11月因感冒入住当地医院,诊断肾病综合症(NS)。97年复发,伴头痛脱发。患者既往体健,家庭亦无智力障碍者,无甲状旁腺手术史。查体:患者发行正常、营养中等,颜面、耳后、前臂及手背见散在陈旧性红斑。实验室检查:血清钙1.83mmol/L(正常值2.0～2.6mmol/L)磷2.41mmol/L(正常值0.9～1.7mmol/L),补体3(C3)0.655g/L(正常值0.93～0.88g/L),补体4(C4)0.79g/L(正常值0.15～0.48g/L)。血自身抗体ANAl:640Anti～SM114u/ml,Anti～RNP 94.36u/ml。甲状旁腺激素(PTH)正常,
The patient, female, 28 years old, was hospitalized for more than 4 years because of an intermittent facial, double lower extremity sore and joint pain. He was diagnosed with nephrotic syndrome (NS) in a local hospital for a cold in November 1995. 97 years of recurrence, with headache hair loss. Past physical health of patients, the family nor the mentally handicapped, no history of parathyroid surgery. Physical examination: patients with normal distribution, moderate nutrition, face, ear, forearm and back of the hand scattered in the old erythema. Laboratory tests: Serum calcium 1.83mmol / L (normal 2.0 ~ 2.6mmol / L) phosphorus 2.41mmol / L (normal 0.9 ~ 1.7mmol / L), complement 3 (C3) 0.655g / L 0.88 g / L), complement 4 (C4) 0.79 g / L (normal 0.15-0.48 g / L). Blood autoantibodies ANA1: 640 Anti ~ SM114u / ml, Anti ~ RNP 94.36u / ml. Parathyroid hormone (PTH) normal,