Brückle W, Schattenkirchner M
Rheumatologische Univ.-Klinik, Felix-Platter-Spital, Basel, Schweiz.
Z Rheumatol. 1989 Jan-Feb;48(1):19-25.
The coincidence of arthritis with polymyalgia rheumatica (PMR) or temporal arteritis (TA) is not well established. After reviewing the literature we found that 22% of patients suffering from PMR/TA present with additional signs of inflammatory joint involvement. Joints predominantly affected are the sternal junctions, knee and shoulder joints, and the wrists, involvement of the latter frequently resulting in carpal tunnel syndrome. With the exception of sternal junctions, bony erosions are rarely seen. In most cases, synovitis is mild, pauciarticular, asymmetrical, transient and not destructive. Little evidence for inflammatory involvement of spine or sacroiliac joints was found, thus, back pain in these patients should be considered as caused by osteoporosis of the spinal column, mostly due to prolonged corticosteroid treatment.
关节炎与风湿性多肌痛（PMR）或颞动脉炎（TA）的并发关系尚未明确确立。在查阅文献后，我们发现22%的PMR/TA患者存在炎症性关节受累的其他体征。主要受累的关节是胸骨关节、膝关节和肩关节以及手腕，手腕受累常导致腕管综合征。除胸骨关节外，很少见到骨质侵蚀。在大多数情况下，滑膜炎是轻度的、少关节的、不对称的、短暂的且无破坏性。未发现脊柱或骶髂关节有炎症累及的证据，因此，这些患者的背痛应被视为由脊柱骨质疏松引起，主要是由于长期使用皮质类固醇治疗。
