Bennett R M
Department of Medicine, Oregon Health Sciences University, Portland 97201.
Postgrad Med. 1990 Feb 15;87(3):97-9, 102-4. doi: 10.1080/00325481.1990.11704584.
Nonarticular rheumatism and the early stages of the spondyloarthropathies make up a large proportion of the musculoskeletal problems seen by primary care physicians. Because of their many shared features, these conditions may be confused. Moreover, the essential concepts of their diagnosis are often poorly understood. Because the approaches to treatment are radically different for the two conditions (as well as for the various types of nonarticular rheumatism), accurate diagnosis is a prerequisite of successful management. Except for describing a very small minority of patients with bizarre pain, the term "psychogenic rheumatism" has no place in contemporary medicine.
非关节性风湿病和脊柱关节炎的早期阶段在基层医疗医生所见的肌肉骨骼问题中占很大比例。由于它们有许多共同特征，这些病症可能会被混淆。此外，它们诊断的基本概念常常未被充分理解。因为这两种病症（以及各种类型的非关节性风湿病）的治疗方法截然不同，准确诊断是成功治疗的先决条件。除了描述极少数有怪异疼痛的患者外，“精神性风湿病”这个术语在当代医学中没有立足之地。
