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作者分析了12例重度粘液性水肿患者的风湿表现,其中9例为自发性,3例继发于碘~(131)治疗或甲状腺切除术后。患者年龄的为50～78岁,未经任何治疗或在检查前4天开始甲状腺补偿疗法。作者发现,7例患者双侧膝关节渗出;2例患者单侧膝关节渗出。所有患者全身强硬,遇冷后加重,少数尚有踝关节、腕关节等其它关节疼痛。有些患者伴腘窝囊肿,韧带松弛,手屈肌肌腱压痛,增厚。但膝关节“浮动”症多不明显。
The authors analyzed rheumatic manifestations in 12 patients with severe myxedema, of which 9 were spontaneous and 3 were secondary to iodine 131 therapy or after thyroidectomy. Patients were 50 to 78 years of age and started thyroid compensation without any treatment or 4 days prior to the test. The authors found that bilateral knee joint exudation in 7 patients and unilateral knee joint exudation in 2 patients. All patients with strong body, increased after the cold, a few still have ankle, wrist and other joint pain. Some patients with popliteal cyst, ligamentous relaxation, tender flexor tendon tenderness, thickening. But the knee “floating” disease is not obvious.