(Disclaimer: This article is only for popular science purposes, in order to protect the privacy of patients, the following content of the relevant information has been processed) Abstract: 55-year-old Aunt Liu joint pain has been repeated for more than 10 years, the last six months the condition has worsened, the effect of self-administration of medication is not good and went to the hospital for treatment. The examination of rheumatoid factor and anti-CCP antibody were positive, and she was admitted to the hospital as “rheumatoid arthritis”. After being hospitalized, he was mainly treated with anti-inflammatory and pain relief, immune suppression and symptomatic therapy. After 12 days of treatment, her condition improved, and she was discharged from the hospital 15 days later for an outpatient review, and was followed up for any discomfort. [Basic information] Female, 55 years old [Disease type] Rheumatoid arthritis [Hospital visit] The First Affiliated Hospital of Xi’an Jiaotong University [Date of visit] September 2019 [Treatment plan] Medication (dexamethasone sodium phosphate injection, technetium [99Tc] methylene bisphosphonate injection) [Treatment cycle] 12 days of hospitalization, outpatient review 15 days later, discomfort follow up [Treatment effect]. After 12 days of hospitalization, the condition was relieved and the pain was significantly reduced. I. Initial Consultation When I first saw Aunt Liu, she was in good spirits and reported that more than 10 years ago, there was no obvious cause for the swelling and pain in the proximal interphalangeal joints of both hands and the joints of both wrists, with limitation of movement, no fever, and no dry mouth or eyes, and that she had been taking medications at home (the specific medications were not known), which had not been effective, and that she still had recurrent swelling and pain in both of her finger joints. Half a year ago, Aunt Liu’s joint swelling and pain worsened, mainly involving the metacarpophalangeal joints of both hands, proximal interphalangeal joints, both wrist joints, both elbow joints, both shoulder joints, both temporomandibular joints, both knee joints, pain and limitation of movement, accompanied by dry mouth, no fever, no rash, self-treatment at home with “DuiYiFei capsule”, with unsatisfactory results, and then went to the outpatient clinic of the hospital to check the rheumatoid factor and anti-CCP. Rheumatoid factor and anti-CCP antibody were positive, and MRI examination showed a few patchy long T1 abnormal signals in the bone of the left lateral tibial condyle. He was admitted to the hospital as a patient with rheumatoid arthritis. Treatment After hospitalization, appropriate examinations were carried out, and anti-CCP antibody was found to be >1600RU/ml; C-reactive protein 97.7mg/L, rheumatoid factor 216.0KIU/L, and anti-streptococcal hemolysin O55KIU/L in the rheumatoid triple test; anti-inflammatory, pain relief, and immune suppression medication was given to Aunt Liu, which mainly consisted of intravenous infusion of dexamethasone sodium phosphate, technetium [ 99Tc] methylene chloride, and other medicines to treat her rheumatoid arthritis. 99Tc] methylenediphosphonate injection. After 5 days of hospitalization, Aunt Liu’s joint pain improved, and she continued to receive anti-inflammatory, analgesic, and immune-suppressing medications. After 12 days of hospitalization, Aunt Liu’s joint pain was significantly better than before, and there was no edema in her lower limbs, so she was discharged home in good condition. Third, treatment effect 3 days after hospitalization, Aunt Liu’s condition was stable and improved, joint swelling and pain slightly reduced compared with the previous, no fever, sleep at night is slightly worse, eating is OK, no other discomfort. After 7 days of hospitalization, Aunt Liu’s joint pain was reduced, no obvious redness or swelling, no fever, no cough or sputum, eating and sleeping were OK, and bowel movement was normal. After 12 days of hospitalization, Aunt Liu’s joint pain was reduced, she had no fever, no dry mouth and eyes, no skin rash, no fever, she ate and slept well, and her bowel movements were normal. Aunt Liu’s condition has improved and she can be discharged today. She will be discharged half a month later for outpatient review and follow up if she is not feeling well. Fourth, the precautionary advice Aunt Liu home to pay attention to the joints, the emergence of symptoms of discomfort in a timely manner, and regular review. Avoid taking medication on your own without going to the hospital, so as to avoid improper use of medication, thus aggravating joint pain, and may make the condition more serious. Avoid eating high purine food, including seafood, animal liver, carbonated beverages, white wine, yellow wine and so on. Appropriate exercise, do not always lie still, I suggest that Aunt Liu can half an hour after meals, square dancing, brisk walking and other sports, for the recovery of the disease is also helpful. Fifth, personal feelings 55-year-old Aunt Liu joint recurring pain for more than 10 years, and not to the regular hospital for treatment, just take medication at home, the effect is very little. Until half a year ago, the condition aggravated, or self-medication, the pain is intolerable to our hospital for treatment, at this time the condition has been more serious, involving more joints, the treatment is more troublesome, the cycle will be extended accordingly. Therefore, it is recommended that when joint discomfort occurs, you should go to a regular hospital for standardized treatment in a timely manner, and avoid taking medication at home or listening to small advertisements, which will easily aggravate your condition and make your treatment relatively difficult.