Handwerger B S
Department of Medicine, University of Maryland School of Medicine, Baltimore 21201.
Md Med J. 1991 Feb;40(2):97-105.
Making the diagnosis of connective tissue disease can at times be extremely difficult. Obtaining a complete rheumatological and medical history, and performing a thorough physical examination are absolutely essential. This article has reviewed several of the laboratory parameters which can aid the clinician in the differential diagnosis of connective tissue diseases. Which tests should be ordered in any given individual patient should be determined by the clinical setting. Careful evaluation of the laboratory data, in the context of the patient's history and physical examination, should, in general, allow the clinician to make the proper rheumatological diagnosis.
有时,结缔组织病的诊断极其困难。获取完整的风湿病和病史,并进行全面的体格检查绝对必要。本文回顾了一些有助于临床医生对结缔组织病进行鉴别诊断的实验室指标。对于任何特定患者应进行哪些检查,应由临床情况决定。一般而言,在患者病史和体格检查的背景下,仔细评估实验室数据应能使临床医生做出正确的风湿病诊断。