(34〜39题共用题干）女性，28岁。近半年反复多关节疼痛伴低热，伴双手关节晨僵，无关节肿胀。活动片刻缓解。2天前发现四肢出血点。査体：双眼睑稍水肿，双手甲周红斑。实验室检查：血常规：PLT30X10VL，尿常规:蛋白（++)。最可能的诊断是

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