Rheumatology Unit, Bnai Zion Medical Center, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Rheumatology Unit, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Semin Arthritis Rheum. 2017 Dec;47(3):361-368. doi: 10.1016/j.semarthrit.2017.05.009. Epub 2017 May 20.
The first step in the diagnosis of a patient with suspected axial spondyloarthritis is to differentiate the signs and symptoms of the disease from other disorders, potentially manifesting with similar clinical and imaging features. This review examines diffuse idiopathic skeletal hyperostosis, osteitis condensans ilii, and other developmental and metabolic disorders that may mimic axial spondyloarthritis, highlighting the diagnostic caveats and discussing shared and distinguishing aspects of these conditions in order to improve the clinician's ability to set them apart.
在诊断疑似中轴型脊柱关节炎患者时，第一步是将疾病的体征和症状与其他可能表现出相似临床和影像学特征的疾病区分开来。这篇综述检查了弥漫性特发性骨肥厚、髂骨骨炎、以及其他可能模仿中轴型脊柱关节炎的发育和代谢性疾病，强调了诊断注意事项，并讨论了这些疾病的共同和不同之处，以提高临床医生区分这些疾病的能力。
