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女性，４５岁。因右上腹胀痛半年，口、眼、皮肤干燥１个月，发热８天，于２００１年１１月２９日入院。半年前患者无明显诱因常感右上腹胀痛，近几个月更明显。１个月前患者出现口、眼干涩，皮肤干躁。８天前无明显诱因出现发热，伴畏寒、腹泻。体检：贫血貌，皮肤干躁、皲裂
Female, 45 years old. Due to pain in the right upper quadrant for six months, mouth, eyes, dry skin for 1 month, fever 8 days, on November 29, 2001 admission. Six months ago, no obvious incentive for patients with right upper quadrant pain, more obvious in recent months. 1 month ago, the patient’s mouth, dry eyes, dry skin. 8 days ago no obvious incentive to fever, with chills, diarrhea. Physical examination: anemia appearance, dry skin, chapped