患者,女性,49岁,医生,因“反复头痛31年、全身关节痛6年,活动受限3个月。”于1996年9月9日入院,患者1964年无明显诱因出现偏头痛、失眠等症状,否认恶心、呕吐,头痛时病人自服去痛片。31年来共服2000片、阿斯匹林片约200片、扑热西痛片约100片,其中含非那西丁的累积量约332克、匹拉米洞150克。近6年来反复关节痛,以双膝关节为主,并伴活动逐渐受限,在血液科以“关节痛原因待查”收住院。查体:T35.4℃、P80次/分、BP16/ Patient, female, 49 years old, doctor, because “Repeated headache for 31 years, total body joint pain for 6 years, limited mobility for 3 months.” On September 9, 1996 admitted to the hospital with no obvious predisposition for migraine in 1964, insomnia And other symptoms, denied nausea, vomiting, headache when the patient self-service to painkiller tablets. Over the past 31 years, a total of 2000 tablets, aspirin tablets of about 200 tablets, flatter the West pain tablets about 100, including non-phenacetin accumulation of about 332 grams, 150 meters Pami hole. Repeated joint pain in the past 6 years to double knees, and gradually limited activities, in the Department of Hematology “joint pain to be investigated,” admitted to hospital. Physical examination: T35.4 ℃, P80 beats / min, BP16 /