患者，男，42岁，两年前曾有双手指关节肿痛，经对症治疗后症状缓解。3个月前关节肿痛加重，并间断发热，体温37℃～38℃，伴乏力、气短，咳嗽不明显。体检：双手中指近端指间关节梭形肿胀，双腕压痛（+），活动受限，右肘关节不能完全伸直，伸面有一个1cm×1cm皮下结节，ESR78mm／h，RF高滴度阳性，ANA阴性。
该病人首选的治疗方案（）。
A.优甲乐替代治疗
B.胸腔穿刺，注射化疗药物
C.非甾体抗炎药
D.肾上腺皮质激素+甲氨蝶呤
E.异烟肼+利福平+乙胺丁醇
参考答案：D
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children 1 his family. His father, Joe Jackson, set up the family band "The Jacksons". It 2 became "The Jackson 5". Little Michael always 3 his brothers practice singing. when he was about 5 years 4 he joined the group and became the lead singer of "The Jackson 5". Michael's first public show was at a school program in his 5 grade in 1963. Weaing black 6 and a white shirt, he sang Climb Evry Moutain. Michael said,"Everybody gave me a big hand 7 I finished singing. I just couldn't believe it. I didn't think I had done anything special. I was just 8 the way I sang at home every night. I just open 9 mouth and sing". Michael's father was very strict with his sons. With their 10 help, Michael and "The Jackson 5" Started collecting trophies (奖杯) at talent shows. | |
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