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结核性风湿症系 Poncet 氏于1897年首先记载.它是由结核杆菌毒素引起的机体过敏状态,多并发于成人原发性肺结核和淋巴结结核,个别并发于肠结核或肾结核,以青壮年女性多见.文献报道此症误诊率高,我院收治14例,误诊11例.诊断依据①风湿病样关节症状,结节性红斑伴有体内结核病灶5例,其中3例结核菌素试验阳性,另2例未作.②风湿病样关节症状,结核菌素试验阳性3例.③风湿病样关节症状伴有体内结核病灶4例,其中1例结核菌素试验阳性,另3例未作.④典型风湿性关节炎症状,经充分水杨酸类制剂或激素治疗效果不显仍反复发作2例,其中1例结核菌素试验阴性,另1例未作.以上4项均作抗
Tuberculous rheumatism department Poncet’s first recorded in 1897. It is caused by the Mycobacterium tuberculosis toxin allergic states, and more complicated in adult primary tuberculosis and lymph node tuberculosis, individual complicated by intestinal tuberculosis or renal tuberculosis, with young women More common in the literature reported misdiagnosis of this disease, 14 cases were admitted to our hospital, misdiagnosed 11. Diagnosis based on rheumatism-like symptoms, nodular erythema associated with tuberculosis in vivo in 5 cases, 3 cases of tuberculin test was positive , And the other two cases were not done.②The rheumatism-like joint symptoms and tuberculin test were positive in 3 cases.③The rheumatoid-like joint symptoms were associated with tuberculosis in vivo in 4 cases, of which 1 was tuberculin test positive and the other 3 cases did not .④ The typical symptoms of rheumatoid arthritis, salicylic acid preparations or hormone therapy was not significantly after the effect was still significant recurrent in 2 cases, of which 1 case of tuberculin test negative, and the other did not make the above four were anti