类风湿关节炎中的耻骨联合紊乱：两例报告。

Disturbances of the symphysis pubis in rheumatoid arthritis: report of two cases.

作者信息

Tsukahara So, Momohara Shigeki, Ikari Katsunori, Murakoshi Kaoru, Mochizuki Takeshi, Kawamura Koichiro, Kobayashi Shu, Nishimoto Kazumasa, Okamoto Hiroshi, Tomatsu Taisuke

机构信息

Institute of Rheumatology, Tokyo Women's Medical University, 10-22 Kawada, Shinjuku-ku, Tokyo, 162-0054, Japan.

出版信息

Mod Rheumatol. 2007;17(4):344-7. doi: 10.1007/s10165-007-0602-y. Epub 2007 Aug 20.

DOI:10.1007/s10165-007-0602-y

PMID:17694273

Abstract

We present two rheumatoid arthritis (RA) patients suffering from disturbances of the symphysis pubis. Radiography revealed one with pelvic ring disruption with symphysis pubis diastasis, and the other with osteolysis at both pubic rami and disruption of the superior aspect of the symphysis pubis. Both cases had received long-term corticosteroid therapy, including pulse therapy. We recommend reducing the corticosteroid dose to prevent disturbances of the symphysis pubis especially in RA patients on long-term steroid therapy.

摘要

我们报告了两名患有耻骨联合紊乱的类风湿关节炎（RA）患者。影像学检查显示，一名患者存在骨盆环中断伴耻骨联合分离，另一名患者双侧耻骨支骨质溶解且耻骨联合上缘中断。这两名患者均接受了包括冲击疗法在内的长期皮质类固醇治疗。我们建议减少皮质类固醇剂量，以预防耻骨联合紊乱，尤其是在接受长期类固醇治疗的RA患者中。