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[风湿病专科门诊患者的风湿性多肌痛。临床体征与病因学因素]

[Polymyalgia rheumatica in patients of a rheumatologic specialty practice. Clinical signs and etiological events].

作者信息

Wagener P

机构信息

Arzt für Innere Medizin-Rheumatologie, Rheumazentrum Hannover, Nienburg-Langendamm.

出版信息

Fortschr Med. 1995 Apr 30;113(12):170-4.

PMID:7789931
Abstract

Manifestations of polymyalgia rheumatica in 100 ambulatory patients of an internistic, rheumatological specialist's practice were investigated. In this group of patients, both the clinical course of the disease and its prognosis were found to be more benign than is commonly reported in the literature. Thus, for example, temporal arteritis was found in only three of the one hundred patients. Not all of the patients were found to have the markedly elevated ESR normally considered to be typical. For this reason, to establish inflammatory activity, in addition to ESR, C-reactive protein (CRP) should also be determined in order to ensure that atypical forms with less marked signs of inflammation are not overlooked. Thirty of the 100 patients reported possible triggering life events.

摘要

对内科风湿病专科门诊的100例多肌痛患者的临床表现进行了调查。在这组患者中,发现该疾病的临床病程及其预后比文献中通常报道的更为良性。例如,在100名患者中仅发现3例颞动脉炎。并非所有患者都有通常被认为是典型的明显升高的血沉(ESR)。因此,为了确定炎症活动,除了ESR外,还应测定C反应蛋白(CRP),以确保不遗漏炎症迹象不明显的非典型形式。100名患者中有30名报告了可能引发疾病的生活事件。

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