Cheong W Y, Tan K P
Department of Radiology, Tan Tock Seng Hospital, Singapore.
Singapore Med J. 1992 Aug;33(4):395-9.
In the assessment of radiologic manifestations of joint diseases, rheumatoid arthritis (RA) is the disease to which all others are compared. Knowledge of its characteristics form the basis of the other conditions. To understand the changes seen on the plain radiograph, it is essential to understand its pathophysiology first so that the manifestations of each disease can be appreciated more fully. Due to space constraint, I shall only discuss the main forms of rheumatic joint disease. Other examples of erosive arthropathies, although not rheumatic in origin, will also be included as they form part of the differential diagnosis of an erosive arthropathy, eg gout and psoriasis.
在评估关节疾病的放射学表现时,类风湿关节炎(RA)是其他所有疾病与之进行比较的参照疾病。了解其特征构成了认识其他病症的基础。为了理解在平片上看到的变化,首先必须了解其病理生理学,以便能更全面地认识每种疾病的表现。由于篇幅所限,我将只讨论风湿性关节疾病的主要类型。侵蚀性关节病的其他例子,尽管并非起源于风湿性疾病,但也将包括在内,因为它们是侵蚀性关节病鉴别诊断的一部分,例如痛风和银屑病。