1病例报告患者,女,72岁,因对称性多关节肿痛伴晨僵20多年,左手指疼痛青紫10余天入院。患者20多年前因受凉后出现双腕关节、掌指关节、近端指间关节肿痛,伴有晨僵,约1~2h,无皮疹、口腔溃疡、雷诺现象,曾在多家医院就诊,考虑为“类风湿关节炎”,长期服用“强的松、雷公藤多甙片、 1 case report Patients, female, 72 years old, due to symmetry of multiple joint swelling and pain with morning stiffness more than 20 years, the left refers to the pain purple bruises more than 10 days admission. More than 20 years ago, the patient showed symptoms of double wrist joint, metacarpophalangeal joint, proximal interphalangeal joint swelling and pain, accompanied by morning stiffness, about 1 ~ 2h, no rash, oral ulcer and Raynaud’s phenomenon. Consider as “rheumatoid arthritis”, long-term use of "prednisone, Tripterygium tablets,