Resnick D, Dwosh I L, Goergen T G, Shapiro R F, Utsinger P D, Wiesner K B, Bryan B L
Radiology. 1976 May;119(2):293-7. doi: 10.1148/119.2.293.
A clinical and radiographic study of 98 patients with definite ankylosing spondylitis (Rome criteria) was undertaken to evaluate differences in men and women with the disease. Clinical manifestations which were atypical in the 18 female patients when compared to those of the men included older age of disease onset, higher incidence of initial and subsequent peripheral joint disease, more common cervical spine symptomatology, and milder disease course. Radiographic differences in the women included a high incidence of cervical spine abnormalities, a combination of cervical spine and sacroiliac joint alterations with a normal intervening thoracic and lumbar segment, and frequent and severe osteitis pubis.
对98例确诊为强直性脊柱炎（罗马标准）的患者进行了一项临床和影像学研究，以评估该疾病在男性和女性中的差异。与男性患者相比，18例女性患者的非典型临床表现包括发病年龄较大、初始和后续外周关节疾病的发病率较高、颈椎症状更常见以及病程较轻。女性患者的影像学差异包括颈椎异常的高发病率、颈椎和骶髂关节改变合并胸腰段正常以及耻骨炎频繁且严重。
