手部和腕部的非类风湿性炎性关节病

Nonrheumatoid Inflammatory Arthroses of the Hand and Wrist.

作者信息

Choo Alexander D, Middleton Gregory, Wilson Robert Lee

机构信息

Department of Orthopedic Surgery, University of California, San Diego, San Diego, CA.

Department of Orthopedic Surgery, University of California, San Diego, San Diego, CA; Department of Medicine, University of California, San Diego, La Jolla, CA.

出版信息

J Hand Surg Am. 2015 Dec;40(12):2477-87; quiz 2488. doi: 10.1016/j.jhsa.2015.05.029.

DOI:10.1016/j.jhsa.2015.05.029

PMID:26537452

Abstract

Various inflammatory and autoimmune conditions affecting joints of the hand and wrist can present with symptoms similar to those of rheumatoid arthritis. The most common of these nonrheumatoid arthroses are psoriatic arthritis, systemic lupus erythematosus, and systemic sclerosis. Management of these and several other conditions is typically medical in nature and continues to evolve with the development of biologically targeted medications. Surgical treatment is not frequently used but can be efficacious for severe cases to alleviate symptoms and correct deformities.

摘要

各种影响手部和腕关节的炎症性和自身免疫性疾病，可能会出现与类风湿性关节炎相似的症状。这些非类风湿性关节炎中最常见的是银屑病关节炎、系统性红斑狼疮和系统性硬化症。这些疾病以及其他几种疾病的治疗通常以药物治疗为主，并且随着生物靶向药物的发展而不断演变。手术治疗并不常用，但对于严重病例可以有效缓解症状和纠正畸形。