第2例——关节痛、口眼干、胸闷、发热（Second cases of joint pain, mouth and eyes dry, chest tightness, fever）.docVIP

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第2例——关节痛、口眼干、胸闷、发热（Second cases of joint pain, mouth and eyes dry, chest tightness, fever）.doc

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第2例——关节痛、口眼干、胸闷、发热（Second cases of joint pain, mouth and eyes dry, chest tightness, fever）

第2例——关节痛、口眼干、胸闷、发热（Second cases of joint pain, mouth and eyes dry, chest tightness, fever） Second cases of joint pain, mouth and eyes dry, chest tightness, fever 2010-07-01 Wang Jinglan, Ceng Xiaofeng, Jiang Yan Patients, female, 57 years old, because of joint pain, dry mouth and dry eyes for 11 years; 2 years of chest distress; with cough and fever for 1 weeks, was admitted to hospital on January 1, 1998. The patient suffered from joint swelling in 1986, involving mainly small interphalangeal joints, double ankles, knees and wrists. Rheumatoid arthritis. In the meantime, the patient has dry mouth, dry eye symptom, treat with aspirin, Tripterygium wilfordii, curative effect is not good. September 1995 began to appear chest tightness, shortness of breath, at night for the chest showed ; pulmonary fibrosis. In February 1996 and July 1996, I was treated with anti-inflammatory treatment after suffering from high fever and cough and dyspnea after exercise. In January 1997, the symptoms increased, the external hospital with adrenal cortical hormone intravenous impact 1 days (specifically unknown), changed to prednisone, 25 mg per day, the condition improved; 1 months after the slow reduction, 8 months later disable. In September 1997, fever again, coughing up yellow sputum and breathing difficulties into our hospital. Examination showed that both lungs were covered with small and small blisters and scattered with a small amount of dry rale. Laboratory examination: ANA (-), anti ds-DNA (Farrs method) 2.6%, SSB1: 4 (anti diffusion method); RF1: 256; ESR 86 mm/1h, protein electrophoresis: A 31.43%, alpha 13.33%, alpha 210.13%, beta 11.38%, gamma 43.73%; IgG 29.3 g/L, IgA 4.94 g/L, IgM 1.29 g/L; total complement: 720 mg/L, 1140 C3 mg/L (Jun Zhengchang); hands: hands and wrist joint area of osteoporosis was part of cystic and multiple proximal carpal joints and joint space narrowing, fuzzy, erosion, finger joints have similar lesions metacarpal part; the articular surface of t