Amosova E N, Ivashkovskiĭ A I, Gizhko V V, Khimich I I, Shebeko N V
Ter Arkh. 1999;71(5):12-7.
Identification of all small joints the affection of which is interrelated and the study of such joints grouping in polyarthritis clinical picture variants.
Upon examination of 102 patients with rheumatoid arthritis (RA) we assessed articular pain, erosion of bones in small joints by x-ray picture of the feet and hands, estimated correlations between the pain and erosion in each joint and compared distribution of small joint erosions with distribution of pain in these joints.
The groups of small joints of the bones and feet have been compiled in which RA pain or erosions were independent of the condition of the joints from the other groups.
RA patients' distribution by joint lesions reflects latent mechanisms of RA development operating separately within various groups of small joints.
确定所有病变相互关联的小关节,并研究多关节炎临床症状变体中此类关节的分组情况。
在对102例类风湿关节炎(RA)患者进行检查时,我们评估了关节疼痛情况,通过足部和手部的X线片评估小关节的骨质侵蚀,估计每个关节疼痛与侵蚀之间的相关性,并比较小关节侵蚀的分布与这些关节疼痛的分布。
已编制出足部和手部小关节组,其中类风湿关节炎的疼痛或侵蚀与其他组关节的状况无关。
类风湿关节炎患者按关节病变的分布反映了类风湿关节炎在不同小关节组中分别起作用的潜在发病机制。