Schlumpf U
Abteilung für Rheumatologie, Medizinische Klinik, Kantonsspital Luzern.
Schweiz Rundsch Med Prax. 1993 Mar 23;82(12):341-3.
Prodromes, articular signs and the different courses in the early stage of rheumatoid arthritis are explained. Atypical forms and variants of rheumatoid arthritis are especially described. These are the following syndromes: palindromic rheumatism, polymyalgic rheumatoid arthritis, Sjögren-syndrome with rheumatoid arthritis, acute symmetric polyarthritis with pitting edema of elderly people. Furthermore the significance of radiological procedures and the investigation for rheumatoid factors in the early stages are discussed. Early diagnosis and consecutively early therapeutic strategies in patients suffering from rheumatoid arthritis are of paramount importance for prognosis.
阐述了类风湿关节炎早期的前驱症状、关节体征及不同病程。特别描述了类风湿关节炎的非典型形式和变异型。这些综合征如下:回纹型风湿症、多肌痛性类风湿关节炎、合并类风湿关节炎的干燥综合征、老年人急性对称性多关节炎伴凹陷性水肿。此外,还讨论了早期放射学检查方法及类风湿因子检测的意义。类风湿关节炎患者的早期诊断及相应的早期治疗策略对预后至关重要。