Kucera M, Racek J, Kreuzberg B, Panzner P
I. interní klinika FN Plzen.
Vnitr Lek. 1994 Oct;40(10):639-44.
The authors describe in a group of 100 patients, mostly with a severe form of rheumatoid arthritis, subjects with so-called "severe" extraarticular affections which can threaten the patients' lives or cause substantial deterioration of its quality, and those subjects where rheumatoid arthritis was the cause of death. These affections were associated--directly or indirectly--with the basic disease. From the absolute number of revealed affections the authors do not want to draw any conclusions as they are aware of various factors which could influence them. They assume, however, that the assembled data provide evidence that the American Rheumatological Association was right to include rheumatoid arthritis among diffuse connective tissue diseases and that it must be considered not only a disease of the locomotor apparatus but a potential disease of the organism as a whole.
作者描述了一组100例患者，其中大多数患有严重形式的类风湿关节炎，这些患者伴有所谓的“严重”关节外病变，这些病变可能威胁患者生命或导致其生活质量大幅下降，以及那些类风湿关节炎是死因的患者。这些病变直接或间接地与基础疾病相关。作者并不想从所发现病变的绝对数量得出任何结论，因为他们意识到各种可能影响这些数量的因素。然而，他们认为所收集的数据证明美国风湿病学会将类风湿关节炎纳入弥漫性结缔组织病是正确的，并且必须认识到它不仅是一种运动器官疾病，而且是一种可能累及整个机体的疾病。
