Buskila D, Gladman D D, Langevitz P, Urowitz S, Smythe H A
University of Toronto Rheumatic Disease Unit, Wellesley Hospital, ON, Canada.
J Rheumatol. 1990 Sep;17(9):1202-6.
Tenderness was assessed by point count and by scored palpation in 51 patients with human immunodeficiency virus (HIV) infection as well as 51 patients with rheumatoid arthritis (RA) and 50 patients with psoriatic arthritis (PsA). Fifteen of 51 (29%) patients with HIV infection met criteria for fibromyalgia, based on the presence of 10 tender (of 14) "fibrositic" points. Similar results were observed among patients with PsA (24%). The prevalence of fibromyalgia was higher among patients with RA (57%). Patients with HIV and PsA were less tender than patients with RA. Fibromyalgia in patients with HIV was significantly associated with myalgia and arthralgia, but not with age, duration of HIV infection, stage of HIV disease, or zidovudine therapy.
通过点数法和评分触诊法对51例人类免疫缺陷病毒(HIV)感染者、51例类风湿关节炎(RA)患者和50例银屑病关节炎(PsA)患者进行压痛评估。51例HIV感染者中有15例(29%)符合纤维肌痛的标准,基于14个“纤维性”压痛点中有10个存在压痛。PsA患者中也观察到类似结果(24%)。RA患者中纤维肌痛的患病率更高(57%)。HIV感染者和PsA患者的压痛程度低于RA患者。HIV感染者的纤维肌痛与肌痛和关节痛显著相关,但与年龄、HIV感染持续时间、HIV疾病阶段或齐多夫定治疗无关。