Fournié B, Granel J, Bonnet M, Dromer C, Pagès M, Billey T, Fournié A
Clinique de Rheumatologie, CHU Purpan, Toulouse.
Rev Rhum Mal Osteoartic. 1992 Mar;59(3):177-80.
On the basis of 193 cases of psoriatic arthropathy, the authors sought the incidence and rapidity of onset of signs suggestive of this type of rheumatic disorder when there are radiological lesions of the fingers and toes. They conclude that when such radiological lesions exist, signs suggestive of psoriatic arthropathy are frequent (90%), early (85% of cases of psoriatic arthropathy present for less than 5 years) and predominantly involve the distal parts of the fingers and toes (85.5%). The authors consider that the signs which distinguish psoriatic arthropathy from rheumatoid arthritis are due to an extrasynovial process of enthesopathic origin.
基于193例银屑病关节炎患者，作者探寻了在手指和脚趾存在放射学病变时，此类风湿性疾病相关体征的发生率及起病速度。他们得出结论，当存在此类放射学病变时，提示银屑病关节炎的体征很常见（90%）、出现较早（85%的银屑病关节炎患者病程不足5年），且主要累及手指和脚趾的远端（85.5%）。作者认为，银屑病关节炎与类风湿关节炎相鉴别的体征源于关节外附着点病的过程。
