1例白塞病合并侵蚀性掌指关节关节炎：超声检查在侵蚀性病变诊断中的价值
A case with Behçet's disease involving erosive Metacarpophalangeal joint arthritis: the value of ultrasonography in the diagnosis of an Erosion.
作者信息
Mülkoğlu Cevriye, Ayhan F Figen
机构信息
Department of Physical Medicine and Rehabilitation, Health Sciences University Ankara Training and Research Hospital, Altındağ/ANKARA, Ulucanlar Street, 06230, Ankara, Turkey.
Medicana International Hospital, Department of Physical Medicine and Rehabilitation, Ankara, Turkey.
出版信息
BMC Med Imaging. 2020 Jun 3;20(1):60. doi: 10.1186/s12880-020-00461-8.
BACKGROUND
Behçet's disease (BD) is a chronic multisystemic vasculitis that may emerge with musculoskeletal system involvements, oral-genital recurrent aphthae, mucocutaneous lesions, and ocular symptoms. Arthritis in BD is usually non-erosive and not related to crippling disease. Erosive arthropathy is a very rare manifestation of BD.
CASE PRESENTATION
Herein, we present a 60-year-old male patient suffering from BD for 33 years with erosive arthritis in his second metacarpophalangeal joint. After we assessed his finger by X-ray, we diagnosed erosive arthropathy quickly by musculoskeletal ultrasonography. In addition, a systematic literature search was performed via the PubMed and Scopus databases using the keywords, 'Behçet's disease [AND] erosive/destructive arthritis'.
CONCLUSIONS
Erosive arthritis due to BD can be evaluated by ultrasonography in an easy, fast and cost-effective manner. The literature search between 1985 and December 2019 revealed a total of 19 patients with peripheral erosive arthropathy related to BD and the characteristics of the results are summarized in the paper.
背景
白塞病（BD）是一种慢性多系统血管炎，可伴有肌肉骨骼系统受累、口腔生殖器复发性口疮、皮肤黏膜病变及眼部症状。白塞病中的关节炎通常无侵蚀性，与致残性疾病无关。侵蚀性关节病是白塞病非常罕见的一种表现。
病例报告
在此，我们报告一名60岁男性患者，患白塞病33年，第二掌指关节出现侵蚀性关节炎。在我们通过X线对其手指进行评估后，通过肌肉骨骼超声检查迅速诊断为侵蚀性关节病。此外，通过PubMed和Scopus数据库，使用关键词“白塞病[与]侵蚀性/破坏性关节炎”进行了系统的文献检索。
结论
白塞病所致的侵蚀性关节炎可通过超声检查以简便、快速且经济有效的方式进行评估。1985年至2019年12月的文献检索共发现19例与白塞病相关的外周侵蚀性关节病患者，结果特征总结于本文。
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