Department of Neurology, University of Texas Health, San Antonio, TX, USA.
Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 7200 Cambridge St, Suite #9A, Houston, TX, 77030, USA.
J Neural Transm (Vienna). 2019 Mar;126(3):253-264. doi: 10.1007/s00702-019-01986-1. Epub 2019 Feb 27.
Hand and foot deformities, known as "striatal deformities", and other musculoskeletal abnormalities such as dropped head, bent spine, camptocormia, scoliosis and Pisa syndrome, are poorly understood and often misdiagnosed features of Parkinson's disease and other parkinsonian syndromes. These deformities share some similarities with known rheumatologic conditions and can be wrongly diagnosed as rheumatoid arthritis, osteoarthritis, psoriatic arthritis, Dupuytren's contracture, trigger finger, or other rheumatologic or orthopedic conditions. Neurologists, rheumatologists, and other physicians must be familiar with these deformities to prevent misdiagnosis and unnecessary diagnostic tests, and to recommend appropriate treatment options.
手和脚的畸形，被称为“纹状体畸形”，以及其他肌肉骨骼异常，如垂头、弯曲的脊柱、鸡胸、脊柱侧凸和比萨综合征，这些都是帕金森病和其他帕金森综合征的特征，目前人们对此了解甚少，且常常被误诊。这些畸形与已知的风湿性疾病有一些相似之处，可能会被误诊为类风湿关节炎、骨关节炎、银屑病关节炎、掌腱膜挛缩、扳机指或其他风湿性或骨科疾病。神经科医生、风湿病医生和其他医生必须熟悉这些畸形，以防止误诊和不必要的诊断性检查，并建议适当的治疗方案。
