Reynolds M D
West J Med. 1978 Apr;128(4):285-90.
Rheumatic symptoms that are a somatic expression of emotional disturbance are common, and often are mistakenly attributed by physicians to organic disease. Psychogenic rheumatism is encountered most frequently among middle-aged women. The typical complaint is of widespread pain and stiffness, often with report of swelling and paresthesia, but symptoms characteristically are vague. Overt psychiatric disturbance may be apparent. Distinction from organic disease should not be difficult if physicians recognize the typical presentation, and find that symptoms fail to correspond to patterns of organic disorders. When organic disease coexists with psychogenic rheumatism, as often is the case, the objective abnormalities are insufficient to explain the symptoms.
作为情绪障碍躯体表现的风湿症状很常见，医生常常将其错误地归因于器质性疾病。心因性风湿症在中年女性中最为常见。典型的主诉是广泛的疼痛和僵硬，常伴有肿胀和感觉异常的报告，但症状通常很模糊。可能有明显的精神障碍。如果医生认识到典型表现，并发现症状与器质性疾病的模式不符，那么与器质性疾病进行区分应该不难。当器质性疾病与心因性风湿症并存时（这种情况很常见），客观异常不足以解释症状。
