Hortas C, Ferreiro J L, Galdo B, Arasa F J, Barbazán C, Mera A J, Mosquera J A
Department of Rheumatology, Povisa, Vigo, Spain.
Br J Rheumatol. 1988 Feb;27(1):65-7. doi: 10.1093/rheumatology/27.1.65.
Four patients with a previous inflammatory rheumatic disease developed a peripheral tuberculous (TB) arthritis in a joint apparently affected by a rheumatic disease. The single most important factor in the diagnosis of TB was the presence of past or present pulmonary TB or a family history on a background of steroid use. Clinical presentation, disease evolution, and routine laboratory tests were unhelpful. The most effective method of diagnosis was synovial biopsy.
4例既往有炎性风湿性疾病的患者在一个明显受风湿性疾病影响的关节中发生了外周结核性关节炎。结核诊断的唯一最重要因素是既往或目前存在肺结核或在使用类固醇激素背景下的家族史。临床表现、疾病演变和常规实验室检查均无帮助。最有效的诊断方法是滑膜活检。
