CAJ | 학술논문

目的总结分析复发性风湿症临床特点.方法收集22例资料较完整的复发性风湿症病例临床资料,分析其临床特点.结果 22例患者中男13例,女9例,年龄21～47岁,主要表现为受累关节或关节周围软组织局限性红、肿、热、伴压痛,症状持续2～7 d后可自行缓解或服用非甾体抗炎药后可迅速缓解,但往往反复出现,73%(16/22)患者表现为发作间隔时间逐渐缩短趋势.全身表现少见.实验室检查大多正常,偶出现低滴度的抗核抗体及类风湿因子阳性.结论对反复出现关节或关节周围炎症,短期内可自行好转或对非甾体类抗炎药敏感,反复发作又不出现关节畸形或骨质破坏,实验室检查自身抗体阴性的患者,应首先考虑复发性风湿症的诊断.
목적 총결분석복발성풍습증림상특점.방법 수집22례자료교완정적복발성풍습증병례림상자료,분석기림상특점.결과 22례환자중남13례,녀9례,년령21～47세,주요표현위수루관절혹관절주위연조직국한성홍、종、열、반압통,증상지속2～7 d후가자행완해혹복용비치체항염약후가신속완해,단왕왕반복출현,73%(16/22)환자표현위발작간격시간축점축단추세.전신표현소견.실험실검사대다정상,우출현저적도적항핵항체급류풍습인자양성.결론 대반복출현관절혹관절주위염증,단기내가자행호전혹대비치체류항염약민감,반복발작우불출현관절기형혹골질파배,실험실검사자신항체음성적환자,응수선고필복발성풍습증적진단.
Objective To analyze clinical features in palindromic rheumatism(PR).Methods To collect clinical data of 22 PR cases with more complete information,and analyze their clinical characteristics.Results In 22 enrolled patients aged 21 ～47 years old,13 patients were male and 9 patients were female.All patients mainly had localized red,swollen,hot,and with painful in the involved joints or periarticular soft tissues.The symptoms could be self relieved after 2 ～ 7 days or relieved after taking non-steroidal anti-inflammatory drugs(NSAIDs),but appeared repeatedly.73%(16/22)of the patients showed that the interval time between attacks was gradually decreasing.General performance was rare.Most laboratory tests were normal,but appeared low titer of antinuclear antibody(ANA) and rheumatoid factor(RF) positive occasionally.Conclusion If the inflammation in or around the joint appearing repeatedly,the symptoms being self improved in short-term or sensitive to NSAIDs,appearing repeatedly without joint deformity nor bone destruction,and autoantibodies being negative in laboratory tests,it should be first considered the diagnosis of PR.