Bekaryssova Dana, Mruthyunjaya Vijaya Prakashini, Ahmed Sakir, Sondur Suhas, Zimba Olena
Department of Biology and Biochemistry, South Kazakhstan Medical Academy, Shymkent, Kazakhstan.
Department of Clinical Immunology and Rheumatology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, India.
Rheumatol Int. 2023 Dec;43(12):2157-2166. doi: 10.1007/s00296-023-05459-3. Epub 2023 Sep 25.
Articular syndrome is often the presentation of a person's various rheumatic or related diseases. It includes both arthralgia and arthritis, with objective signs of joint inflammation defining the latter. This syndromic approach to joint pain enables a scientific method for early diagnosis of common rheumatic conditions without compromising the recognition of uncommon conditions. This review explores common rheumatic conditions associated with articular syndrome, including osteoarthritis, rheumatoid arthritis (RA), systemic lupus erythematosus (SLE). It supports the early differentiation of uncommon but emerging entities such as reactive arthritis (ReA). The aim of the review is to comprehensively overview various forms of articular syndrome to update rheumatologists' and allied health specialists' knowledge. Epidemiology, clinical presentations, diagnostic approaches, and therapeutic strategies are discussed in the context of articular syndrome. The challenges emerging in the peri-pandemic COVID-19 era are highlighted. The improved understanding of the spectrum of clinical conditions and disease states presenting with articular syndrome may facilitate early diagnosis, optimal management, and enhanced patient outcomes within the realm of rheumatology.
关节综合征通常是一个人各种风湿性或相关疾病的表现。它包括关节痛和关节炎,后者以关节炎症的客观体征为定义。这种针对关节疼痛的综合征方法为早期诊断常见风湿性疾病提供了一种科学方法,同时又不影响对罕见疾病的识别。本综述探讨了与关节综合征相关的常见风湿性疾病,包括骨关节炎、类风湿关节炎(RA)、系统性红斑狼疮(SLE)。它支持对反应性关节炎(ReA)等罕见但新出现的疾病进行早期鉴别。本综述的目的是全面概述各种形式的关节综合征,以更新风湿病学家和相关健康专家的知识。在关节综合征的背景下讨论了流行病学、临床表现、诊断方法和治疗策略。强调了在新冠疫情大流行期间出现的挑战。对表现为关节综合征的临床病症和疾病状态范围的更好理解可能有助于在风湿病领域实现早期诊断、优化管理并改善患者预后。