Bunch T W, O'Duffy J D, McLeod R A
Arthritis Rheum. 1976 Mar-Apr;19(2):243-8. doi: 10.1002/art.1780190217.
Arthritis of the hands with erosions, periosteal calcification, and interphalangeal thumb joint instability was seen in 6 patients with polymyositis. "Overlap" features such as Raynaud's phenomenon, positive LE clot test, and positive antinuclear antibody test were present, but clinically the primary disease was clearly polymyositis. This rather unusual constellation of roentgenographic findings strongly suggests the possibility of polymyositis.
在6例多发性肌炎患者中发现手部关节炎伴糜烂、骨膜钙化和拇指指间关节不稳定。存在诸如雷诺现象、狼疮抗凝物试验阳性和抗核抗体试验阳性等“重叠”特征,但临床上原发性疾病明确为多发性肌炎。这种相当不寻常的X线表现组合强烈提示多发性肌炎的可能性。