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报告15例回纹型风湿病患者。其临床特征为反复发作的四肢关节肿痛,多于数小时或数天内自行缓解。发作间歇期介于2周至1年不等,间歇期内无症状或异常体征。本组患者中受侵的关节依次为掌指关节(86.3%)、近端指间关节(80.0%)、腕关节(66.7%)、膝关节(53.3%)、肘关节(40.0%)、踝关节(13.3%)和跖趾关节(2.0%)。在关节炎发作时,1例伴有低热,3例关节周围出现结节,1例有关节腔内积液。出现关节肿痛时血沉、C反应蛋白、类风湿因子和X线双手关节相都无明显异常。4例患者在临床晚期时出现类风湿关节炎的临床表现和血沉增快,2例类风湿因子转为阳性,1例的X线关节相和另1例的MRI检查出现骨侵蚀证象。这4例病灶演变过程支持回纹型风湿病可能工类风湿关节炎的一种特殊类型。
Reported 15 cases of pattern-type rheumatism patients. The clinical features of recurrent limbs and joints swelling and pain, more than a few hours or a few days to ease themselves. Intermittent seizures ranging from 2 weeks to 1 year, intermittent asymptomatic or abnormal signs. The affected joints in this group were metacarpophalangeal (86.3%), proximal interphalangeal (80.0%), wrist (66.7%), knee (53.3%), Elbow joint (40.0%), ankle joint (13.3%) and metatarsophalangeal joint (2.0%). In the onset of arthritis, 1 case was accompanied by fever, 3 cases of nodules around the joint, 1 case of intra-articular effusion. Erythrocyte sedimentation rate when the joint swelling and pain, C-reactive protein, rheumatoid factor and X-ray bilateral joint phase were no significant abnormalities. Four patients developed clinical manifestations and ESR of rheumatoid arthritis in late clinical stage, two cases of rheumatoid factor turned positive, one case of X-ray joint and the other one case of MRI showed evidence of bone erosion. These four lesions evolved to support a particular type of rheumatoid arthritis that may be a form of rheumatoid arthritis.