Singer F
Z Rheumatol. 1982 Jan-Feb;41(1):26-34.
Polyarthralgias are widely common complaints. In earlier stages it might be difficult to state the right diagnosis. Differential diagnosis is absolutely necessary for starting in time with the right treatment. Out of a great clinical material the following diseases causing mono-, oligo- or polyarthralgia were discussed: enchondral dysostosis (osteochondrodysplasia) Marfan's syndrome (arachnodactylia), Ehlers-Danlos syndrome (elastic fibrodysplasia), Kaposi's sarcoma (multiple idiopathic hemorrhagic sarcoma) and a disease involving the connective tissue localized in different cutaneous regions. All discussed diseases showed no primary involvement of the synovial membranes of the joints and differed by that from inflammatory joint diseases.
多关节痛是非常常见的主诉。在早期阶段，可能难以做出正确的诊断。鉴别诊断对于及时开始正确治疗绝对必要。从大量临床资料中，讨论了以下引起单关节痛、少关节痛或多关节痛的疾病：内生软骨发育异常（骨软骨发育不良）、马方综合征（蜘蛛指症）、埃勒斯-当洛综合征（弹性纤维发育不良）、卡波西肉瘤（多发性特发性出血性肉瘤）以及一种累及不同皮肤区域结缔组织的疾病。所有讨论的疾病均未发现关节滑膜的原发性受累，因此与炎性关节疾病不同。
