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Mr.Lee who suffered from painful swelling of ankle and knee - Coggle…
Mr.Lee who suffered from painful swelling of ankle and knee
治療
NSAIDs
Immunomodulating drugs：methotrexate、sulfaslazine
抗生素Cefazolin
退燒
檢驗
No lymphadenopathy
排除化膿性關節炎或其他感染
No petechiae, splinter infarction or skin rash
排除乾癬性關節炎
心音正常無雜音
Blood culture：streptococcus viridans
Mild leucocytosis
有發炎跡象
No viral infection(including influenza A/B, parvovirus B19)
No rheumatoid factor
排除類風溼性關節炎
No anti-CCP, anti-SSA, anti-SSB, and antinuclear antibody
HLA-B27 positive but HLA-B51 negative
排除僵直性脊椎炎
Not find any crystal
排除痛風、結晶性關節炎
右腳關節液檢驗：WBC count pretty high and predominantly with neutrophil
No other bacterial or fungal infection
(including gonococcus infection)
排除淋病
X-ray of pelvis and L-spine examination
CPR very high
症狀
整個手指和腳趾腫脹（dactylitis）
治療後好轉
二尖瓣脫垂
無贅生物
排除心內膜炎
左腳跟有附著點炎
diarrhea
fever 、joint pain(不對稱)
治療後
AAU
joint pain
dysuria
診斷結果：
反應性關節炎
成因
泌尿道、腸胃道感染
不安全性行為、食用不乾淨的食物
細菌感染