病例摘要病史患者男性,26岁,“腰及臀部疼痛不适,活动受限19个月,尿检异常、肾功能减退8个月”,2004年6月入院。患者于2002年11月无明显诱因出现腰痛,左侧髋关节不适伴左右臂部交替疼痛,不能行走,晨起尤其明显,休息后不改善,活动后减轻,行腰椎及髋关节、骶髂关节CT检查符合“强 Case history Male patients, aged 26, had “pain in the lower back and buttocks, limited mobility for 19 months, abnormal urinalysis and impaired renal function for 8 months,” and were admitted to hospital in June 2004. Patients in November 2002 no obvious incentive to appear low back pain, left hip discomfort with alternating left and right arm pain, can not walk, especially in the morning, after rest does not improve, reduce after exercise, the lumbar and hip, sacroiliac joint CT examination in line with "strong