Girgis F L, Popple A W, Bruckner F E
Ann Rheum Dis. 1978 Dec;37(6):561-5. doi: 10.1136/ard.37.6.561.
We present a case of Jaccoud's arthropathy in a 59-year-old woman. She developed painless correctable ulnar deviation at the metacarpophalangeal joints of both hands following 4 attacks of rheumatic fever. Radiology did not show the hook lesions previously described, but we do not consider this sign essential for the diagnosis. There was no clinical evidence of rheumatoid arthritis. We were able to examine 3 complete joints from the left little finger at necropsy. Pathological examination of this kind has been possible only once before. The histological findings were fibrous thickening of the joint capsule, secondary degenerative changes, presumably due to longstanding joint deformity, and no evidence of significant synovial pathology.
我们报告一例59岁女性的雅库关节病。她在患4次风湿热后，双手掌指关节出现无痛性可纠正的尺侧偏斜。放射学检查未显示先前描述的钩状病变，但我们认为该征象并非诊断所必需。无类风湿关节炎的临床证据。尸检时我们能够检查左手小指的3个完整关节。此前这种病理检查仅进行过一次。组织学检查结果为关节囊纤维增厚、继发退行性改变，推测是由于长期关节畸形所致，且无明显滑膜病变的证据。
