Smukler N M, Schumacher H R
Arthritis Rheum. 1977 Jun;20(5):1114-20. doi: 10.1002/art.1780200511.
Two patients with arthritis of the knee joints associated with cutaneous polyarteritis have been followed for 20 and 5 years. The arthritis is characterized by mild to moderate pain and stiffness and inflammatory joint effusions with predominantly polymorphonuclear leukocytes. Despite its chronicity, there has been no clinical or radiologic evidence of joint destruction. Necrotizing inflammation was seen in arteries of the deep skin but not in the small vessels observed in the synovial biopsy specimens.
两名患有关节炎性膝关节并伴有皮肤型结节性多动脉炎的患者分别接受了20年和5年的随访。关节炎的特点是轻度至中度疼痛和僵硬,以及以多形核白细胞为主的炎性关节积液。尽管病程呈慢性,但尚无关节破坏的临床或影像学证据。在深层皮肤的动脉中可见坏死性炎症,但在滑膜活检标本中观察到的小血管中未发现。