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例1:女,30岁,住院号4976。12天前无明显诱因而发热,全身皮肤出现大小不等、形状不规则的红色风团,瘙痒,伴周身关节痛。经皮肤科诊断为荨麻疹,服用氢化考的松200毫克/日。三天后热退疹消,疼痛减轻。一周后复又发热,左腿关节痛加重,但无皮疹。此次发病后未再用药。平素健康。以风湿热而入院。查体:体温88.4。C,脉搏82次/分,血压120/80毫米汞柱,两颊潮红,咽、扁桃体无充血及肿大。心界正常。心尖有Ⅱ级收缩期吹风样杂音,律整,两肺正常。肝未扪及,脾于左肋下3.0厘米。左臀部有一直径约2.0厘米的皮下结节,质软,有轻压痛,表面皮肤微红。胸透心肺无异常。心电图正常。化验:血红蛋白8.5克％,白细胞13200,中性82％,淋巴14％,嗜酸4％,尿常规蛋白(±),红细胞2～3/高倍视野,白细胞4～5/高倍视野,血沉87毫米/小时,抗链“O”300单位,红斑狼疮细胞(-)。肝
Example 1: Female, 30 years old, hospital number 4976.12 days ago there was no obvious incentive and fever, the size of the body skin size, irregular red wind group, itching, with periarthritis. Dermatology diagnosis of urticaria, taking hydrocortisone 200 mg / day. Three days after the heat rash elimination, reduce pain. After a week complex fever, left leg pain, but no rash. After the onset of no medication. Usually healthy. To rheumatic fever and admission. Physical examination: body temperature 88.4. C, pulse 82 beats / min, blood pressure 120/80 mm Hg, cheeks flushing, pharynx, tonsils without congestion and enlargement. Normal heart. Apex Ⅱ grade systolic hair-like murmur, law, both lungs normal. Liver palpable, spleen in the left rib 3.0 cm. Left hip has a diameter of about 2.0 cm subcutaneous nodules, soft, tender tenderness, the surface of the skin reddish. Chest heart and lung no abnormalities. Normal ECG. Assay: Hemoglobin 8.5g%, WBC 13200, Neutral 82%, Lymph 14%, Eosinophilic 4%, Urine Routine Protein, RBC 2 ~ 3 / High Power Field, WBC 4 ~ 5 / High Power Field, ESR 87mm / Hour, anti-chain “O” 300 units, lupus erythematosus cells (-). liver