Jagadeesan Soumya, Shenoy Padmanabha
Department of Dermatology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Consultant Rheumatologist, Centre for Arthritis and Rheumatism Excellence (CARE), Kochi, Kerala, India.
Indian Dermatol Online J. 2017 Mar-Apr;8(2):79-93. doi: 10.4103/idoj.IDOJ_25_17.
Dermatology and rheumatology are two specialties that deal with significant overlap. In this context, it is important that the dermatologists acquaint themselves with conditions presenting with arthropathy. As the first step, it is essential to know whether the origin of musculoskeletal symptom is articular or extra-articular; inflammatory or noninflammatory; acute or chronic; oligo- or poly-articular. This will help in narrowing down the differential diagnoses as well as in better correlation with the cutaneous symptoms. In this review, we discuss the skin and articular manifestations of common inflammatory and noninflammatory arthropathies including rheumatoid arthritis, spondyloarthropathies, connective tissue disorders, vasculitis, crystal arthropathies, infective arthritis, arthritis associated with degenerative, endocrine and metabolic conditions, etc. We have also added a section on the common cutaneous features associated with the treatment of rheumatologic diseases. A basic understanding of the joint pathologies and associated skin changes will help a long way in the better management of these conditions.
皮肤科和风湿病学是两个存在大量重叠的专业领域。在这种情况下，皮肤科医生熟悉伴有关节病的病症非常重要。第一步，必须了解肌肉骨骼症状的起源是关节性的还是关节外的；是炎症性的还是非炎症性的；是急性的还是慢性的；是少关节的还是多关节的。这将有助于缩小鉴别诊断范围，并更好地将其与皮肤症状相关联。在本综述中，我们讨论了常见炎症性和非炎症性关节病的皮肤和关节表现，包括类风湿关节炎、脊柱关节病、结缔组织病、血管炎、晶体性关节病、感染性关节炎、与退行性、内分泌和代谢性疾病相关的关节炎等。我们还增加了一部分内容，介绍与风湿病治疗相关的常见皮肤特征。对关节病理和相关皮肤变化的基本了解将对更好地管理这些病症大有帮助。
