疑难风湿病诊断
The Difficult Rheumatology Diagnosis.
作者信息
Devaraj Navin Kumar
机构信息
Department of Family Medicine, Universiti Putra Malaysia, Serdang, Selangor.
出版信息
Ethiop J Health Sci. 2018 Jan;28(1):101-102. doi: 10.4314/ejhs.v28i1.13.
BACKGROUND
Rheumatoid arthritis is a devastating condition. More so, the diagnosis of seronegative rheumatoid arthritis is often fraught off with much uncertainty and that leads to further suffering to the unfortunate patient.
CASE DETAILS
This is a case of Madam A, who presented with many non-specific symptoms and signs involving many systems which was finally diagnosed as seronegative rheumatoid arthritis. This case explores the challenges in reaching this uncommon diagnosis and how anti-inflammatory drugs can bring a miraculous relief to the patient's suffering.
CONCLUSION
The diagnosis of seronegative rheumatoid arthritis often presents a real challenge to the medical practitioner and often requires multiple visits and/or shared multidisciplinary care for confirmation of the diagnosis. Once diagnosed and treated with disease modifying anti- rheumatic drugs, often there is a miraculous relief to the patient's suffering.
背景
类风湿性关节炎是一种极具破坏性的疾病。更确切地说，血清阴性类风湿性关节炎的诊断常常充满诸多不确定性，这给不幸的患者带来了更多痛苦。
病例详情
这是A女士的病例，她出现了许多涉及多个系统的非特异性症状和体征，最终被诊断为血清阴性类风湿性关节炎。本病例探讨了做出这一罕见诊断所面临的挑战，以及抗炎药物如何能为患者的痛苦带来奇迹般的缓解。
结论
血清阴性类风湿性关节炎的诊断对医生来说往往是一项真正的挑战，通常需要多次就诊和/或多学科共同诊疗以确诊。一旦确诊并用改善病情的抗风湿药物进行治疗，患者的痛苦往往会得到奇迹般的缓解。
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