Moolenburgh J D, Moore S, Valkenburg H A, Erasmus M G
Ann Rheum Dis. 1984 Feb;43(1):40-3. doi: 10.1136/ard.43.1.40.
Thirty-nine black African patients were seen with probable, definite or classical rheumatoid arthritis (RA); 32 of these were seen in a prospective study out of a total of 15 834 new patients 15 years and older at presentation seen in a 12-month period. The diagnosis was based on the American Rheumatism Association criteria for RA or the Rome criteria for inactive RA. The high incidence of severe disease as well as the occurrence of advanced disease in young patients is notable. 80% of the patients came from rural areas. Radiological lesions were found in 74% and serological abnormalities in 92%. Rheumatoid factor (RF) was found to be positive in 12% of an age and sex matched control group and in 19% of a group of patients suffering from tuberculosis.
39名非洲黑人患者被诊断为可能、确诊或典型的类风湿性关节炎(RA);其中32名患者来自一项前瞻性研究,该研究共纳入了12个月内就诊的15834名15岁及以上的新患者。诊断依据是美国风湿病协会的RA标准或罗马非活动型RA标准。值得注意的是,严重疾病的高发病率以及年轻患者中晚期疾病的出现。80%的患者来自农村地区。74%的患者有放射学病变,92%的患者有血清学异常。在年龄和性别匹配的对照组中,类风湿因子(RF)阳性率为12%,在一组结核病患者中为19%。