Waxman J
Postgrad Med. 1983 Feb;73(2):189-96. doi: 10.1080/00325481.1983.11697765.
Rheumatic pain is usually generalized, but in a variety of conditions it may present as localized and often remain so. These conditions include palindromic rheumatism, osteoarthritis, gout or pseudogout, seronegative spondyloarthropathy, septic arthritis, tendinitis and bursitis, radiculopathy and nerve entrapment, nodular growth, and tendon enlargement. When the presenting feature is focal pain in muscles, joints, or fibrous tissue, the differential diagnosis should include these considerations.
风湿性疼痛通常是全身性的，但在多种情况下，它可能表现为局部性的，并且常常如此。这些情况包括回纹型风湿症、骨关节炎、痛风或假性痛风、血清阴性脊柱关节病、化脓性关节炎、肌腱炎和滑囊炎、神经根病和神经卡压、结节性生长以及肌腱肿大。当主要症状是肌肉、关节或纤维组织的局部疼痛时，鉴别诊断应包括这些因素。
