【摘要】：正病例簡介:患者王某,女,68歲,主因"多關節(jié)腫痛4年,雙足麻木6月"入院。4年前出現(xiàn)周身多關節(jié)腫痛,以雙手小關節(jié)為著,晨僵約半小時,伴雙側膝關節(jié)腫脹,查類風濕因子686 U/ml(0~20),抗環(huán)瓜氨酸肽抗體250 U/ml,抗核抗體1∶1 000,ENA系列陰性,C反應蛋白16.9 mg/L(0~8),診斷為類風濕關節(jié)炎,先后予甲氨蝶呤10 mg qw聯(lián)合來氟米特20 mg qd,來氟米特20 mg qd聯(lián)合雷公藤20 mg tid后加用柳氮磺吡啶0.5 g bid,并間斷輸入云克治
[Abstract]:Case profile: patient Wang Mou, female, 68 years old, mainly due to "multiple joint swelling and pain 4 years, double foot numbness 6 months" admitted to hospital. 4 years ago, there was multiple joint swelling and pain around the body, with small joints of both hands, morning stiffness for about half an hour, accompanied by swelling of bilateral knee joints. Rheumatoid factor 686 U/ml (0 鈮，

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