Henderson D R, Tribe C R, Dixon A S
Rheumatol Rehabil. 1975 Nov;14(4):244-50. doi: 10.1093/rheumatology/14.4.244.
Synovitis was observed in 13 out of 88 consecutive patients with polymyalgia rheumatica. It is described in detail in five patients, on the basis of clinical radiological observations, joint aspiration, arthroscopy and biopsy. The synovitis of polymyalgia rheumatica cannot be distinguished histologically or at arthroscopy from the appearance seen in mild rheumatoid arthritis. Clinically, however, the synovitis of polymyalgia rheumatica is mild, transient and confined to one or two joints or tendon sheaths. It is not followed by joint deformity or by radiological erosive changes in the bone ends. It may occur at any stage of the disease but particularly at its onset, or when the dose of corticosteroid treatment is reduced.
在88例连续的风湿性多肌痛患者中，有13例观察到滑膜炎。基于临床放射学观察、关节穿刺、关节镜检查和活检，对其中5例患者的滑膜炎进行了详细描述。风湿性多肌痛的滑膜炎在组织学上或关节镜检查时无法与轻度类风湿关节炎的表现相区分。然而，临床上，风湿性多肌痛的滑膜炎症状较轻、呈一过性，且局限于一两个关节或腱鞘。它不会导致关节畸形或骨端的放射学侵蚀性改变。它可能在疾病的任何阶段出现，但尤其在疾病发作时，或在糖皮质激素治疗剂量减少时出现。
