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许多疾病起病时均以关节痛为首要症状,风湿性关节炎又是临床常见的一种疾病,所以常易造成误诊。近几年来,我们在临床上遇到9例,现总结如下。典型病例例1:庄某,男,24岁。1974年8月游泳后感双膝关节酸痛,局部无红肿,其后常于天气变化时复发。同年11月27日入院。查血沉70mm、抗“O”625单位,诊断为“风湿性关节炎”。予以抗风湿治疗,但效果不明显。12月3日出现左髋关节剧痛,右髂前上棘周围有出血点,左膝关节前有瘀斑,伴有发热,体温38℃以上。经骨髓穿刺检查,诊断为急性淋巴细胞性白血病。
Many diseases are the main symptoms of joint pain at onset, rheumatoid arthritis is a common clinical disease, it is often misdiagnosed. In recent years, we met in clinical 9 cases, are summarized as follows. Typical Case Example 1: Zhuangmou, male, 24 years old. After swimming in August 1974, the knee joint soreness, no local swelling, then often when the weather changes recurrence. In the same year on November 27 admission. Check blood sedimentation 70mm, anti-“O” 625 units, diagnosed as “rheumatoid arthritis.” Anti-rheumatic treatment, but the effect is not obvious. December 3 left hip pain, bleeding around the right anterior superior iliac spine, left knee before ecchymosis, accompanied by fever, body temperature above 38 ℃. After bone marrow biopsy, diagnosis of acute lymphoblastic leukemia.