Early or atypical cases of red blood cells in the form of money strings are easily misdiagnosed as chronic nephritis, aplastic anemia, rheumatoid arthritis, and hepatic sclerosis. The following is an introduction to these easily confused diseases. 1, chronic nephritis is a group of glomerular diseases caused by a variety of etiologies. The clinical manifestations can be proteinuria, hematuria, edema, hypertension, etc. 2.Aplastic anemia is a group of syndromes caused by a variety of causes of bone marrow dysfunction, the main manifestation of complete blood cell reduction. The exact cause is not yet clear, but it is known that the onset of reblastosis is related to chemical drugs, radiation, viral infection and genetic factors. According to a survey in 21 provinces (cities) and autonomous regions in China, the annual incidence rate is 0.74/100,000 population, which is significantly lower than the incidence rate of leukemia; the incidence rate of chronic reoccurrence is 0.60/100,000 population, and the incidence rate of acute reoccurrence is 0.14/100,000 population. According to the onset and course of the disease, it is divided into acute and chronic reoccurrence. 3, rheumatoid arthritis rheumatoid arthritis is a chronic, inflammatory synovitis-based systemic disease of unknown etiology. It is characterized by polyarticular, symmetric, aggressive joint inflammation of the small joints of the hands and feet, often accompanied by extra-articular organ involvement and positive serum rheumatoid factor, which can lead to joint deformity and loss of function. 4.Cirrhosis is a common chronic progressive liver disease, caused by one or more chronic liver injuries. In our country, most of them are post-hepatitis cirrhosis, some of them are alcoholic cirrhosis and schistosomal liver sclerosis. Histopathology of hepatocyte necrosis, nodular regeneration of residual hepatocytes and extensive proliferation of connective and fibrous tissues lead to destruction and deformation of liver lobules and lobules, hardening, and progressive development of cirrhosis.