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[风湿性多肌痛的临床表现]

[The clinical manifestations of polymyalgia rheumatica].

作者信息

Bunchuk N V, Rytikova M I

出版信息

Ter Arkh. 1991;63(4):106-9.

PMID:2068658
Abstract

The authors describe the results of the follow-up of 59 patients with rheumatic polymyalgia. The observation period lasted from 6 months to 6 years. The clinical manifestations of the disease have been analyzed. The torpid and steroid-independent variants of the disease have been distinguished, 22 patients (37.3%) manifested arthritis of different joints, characterized by an insignificant number of damage joints, little intensity of local inflammation, rapid and steady abatement after the treatment with corticosteroids. 10 patients (16.9%) with rheumatic polymyalgia had the carpal canal syndrome and 5 patients (8.5%) diffuse painless hand edema. The symptoms of Horton's disease were revealed in 19 patients (32.6%).

摘要

作者描述了59例风湿性多肌痛患者的随访结果。观察期从6个月至6年不等。对该疾病的临床表现进行了分析。区分出了疾病的隐匿型和非类固醇依赖型,22例患者(37.3%)表现为不同关节的关节炎,其特点是关节损伤数量少、局部炎症程度轻、使用皮质类固醇治疗后迅速且稳定地缓解。10例(16.9%)风湿性多肌痛患者患有腕管综合征,5例(8.5%)有弥漫性无痛手部水肿。19例患者(32.6%)出现了霍顿病的症状。

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