Kardas Tobiasz, Wielosz Ewa, Majdan Maria
Department of Rheumatology, Hospital, Krasnystaw, Poland.
Department of Rheumatology and Systemic Connective Tissue Diseases, Medical University of Lublin, Poland.
Reumatologia. 2022;60(1):53-62. doi: 10.5114/reum.2022.114186. Epub 2022 Feb 28.
Joint involvement is one of the most common clinical manifestations of systemic connective tissue diseases (CTD). Joint symptoms can take various forms, ranging from joint pain to mono-arthritis or symmetrical poly-arthritis. In most cases, arthritis takes a non-destructive form, such as in the course of systemic lupus erythematosus or primary Sjögren's syndrome, to destructive arthritis in overlap syndromes of CTD with rheumatoid arthritis. In addition, apart from the wide variety of forms of joint involvement, it should be noted that joint symptoms may be one of the domains suggesting a severe course of the disease. The study attempts to present the methods of assessing the involvement of the locomotor system. The search for appropriate scales to determine the degree of joint involvement is important in assessing the severity of joint changes, has an impact on the overall degree of disease activity, and allows for timely implementation of appropriate treatment.
关节受累是系统性结缔组织病（CTD）最常见的临床表现之一。关节症状形式多样，从关节疼痛到单关节炎或对称性多关节炎。在大多数情况下，关节炎呈非破坏性形式，如系统性红斑狼疮或原发性干燥综合征病程中所见，而在CTD与类风湿关节炎的重叠综合征中则表现为破坏性关节炎。此外，除了关节受累形式多样外，还应注意关节症状可能是提示疾病严重病程的领域之一。本研究试图介绍评估运动系统受累的方法。寻找合适的量表来确定关节受累程度，对于评估关节病变的严重程度很重要，会影响疾病活动的总体程度，并有助于及时实施适当的治疗。
