Yamamoto T
Department of Dermatology, Fukushima Medical University, Hikarigaoka 1, Fukushima, 960-1295, Japan.
Rheumatol Int. 2009 Jul;29(9):979-88. doi: 10.1007/s00296-009-0881-z. Epub 2009 Feb 26.
Rheumatoid arthritis presents various cutaneous manifestations, either specific or nonspecific skin features, which are induced by the activation of inflammatory cells (neutrophils, lymphocytes, macrophages), vasculopathy, vasculitis, acral deformity, drugs, and so on. These include (1) specific findings, (2) findings due to vascular impairment, (3) findings due to immune dysfunction, (4) characteristic neutrophilic conditions, and (5) miscellaneous conditions. On the other hand, some of the specific manifestations show common histopathological features such as palisading granulomas with necrobiosis. It is important to recognize the common and/or uncommon skin conditions of RA for all clinicians associated with RA therapy.
类风湿性关节炎会出现各种皮肤表现,包括特异性或非特异性皮肤特征,这些表现是由炎症细胞(中性粒细胞、淋巴细胞、巨噬细胞)激活、血管病变、血管炎、肢端畸形、药物等因素引起的。这些表现包括:(1)特异性表现;(2)血管损伤所致表现;(3)免疫功能障碍所致表现;(4)特征性中性粒细胞相关情况;(5)其他各种情况。另一方面,一些特异性表现具有共同的组织病理学特征,如伴有渐进性坏死的栅栏状肉芽肿。对于所有参与类风湿性关节炎治疗的临床医生来说,认识类风湿性关节炎常见和/或不常见的皮肤情况很重要。