Piton J L, Vila A, Servais B, Stoebner P, Cabanel G, Phelip X
Rev Rhum Mal Osteoartic. 1983 Oct;50(10):643-51.
The authors report the results of a systematic study of 37 hospitalized cases of rheumatoid arthritis. The neurological and muscular clinical signs are usually discrete. Electrophysiological examination is the basis for a classification in terms of the extent and the intensity of the neuropathy. Clinical and laboratory correlations are established permitting the individualization of a group of patients with severe neuropathy. The histological, morphometric and ultrastructural examination of 12 muscle and nerve biopsies reveal the high incidence of these lesions and the constancy of capillary involvement.
作者报告了对37例住院类风湿性关节炎病例的系统研究结果。神经和肌肉的临床体征通常不明显。电生理检查是根据神经病变的程度和强度进行分类的基础。建立了临床与实验室的相关性,从而能够对一组严重神经病变患者进行个体化诊断。对12例肌肉和神经活检进行的组织学、形态计量学和超微结构检查显示,这些病变的发生率很高,且毛细血管受累情况恒定。