Male, 35 old year. 10 days fever (38-41°C), tonsillitis, maculopapular skin lesions, vomiting, arthritis. CRP-36 U/ml RH-factor - 9.4 U/ml Ferritin 36378.0 ng/ml Anti ss-DNA- 2 U/ml Anti ds-DNA 23.8 U/ml c-ANCA- 1.7 U/ml P-ANA - 1.3 U/ml Brusellosis negativ Anti-HIV negative HBsAg negative anti-HCV negative WBC - 22.01×1000 NEUT absolute 20.80×1000 NEUT% 94.50 USG normal