Itkina I V, Radenska-Lopovok S G, Balabanova R M, Mach E S, Khodus V V
Klin Med (Mosk). 1996;74(2):23-6.
Muscular pathology was studied clinically, electromyographically, at light microscopy and assessment of tissue microcirculation in 34 patients with significant RA. 22 patients had systemic manifestations, in 12 patients articular lesions predominated. It was found that RA patients with systemic signs had more advanced muscular pathology, more frequent generalized amyotrophy, declined muscular function, low capacity of microcirculatory bed. These patients showed primarily vascular disorders. In RA patients with articular lesions muscular affections become more evident.
对34例重度类风湿关节炎(RA)患者的肌肉病理进行了临床、肌电图、光镜及组织微循环评估研究。22例患者有全身表现,12例以关节病变为主。发现有全身症状的RA患者肌肉病理改变更严重,全身萎缩更常见,肌肉功能下降,微循环床功能降低。这些患者主要表现为血管病变。在以关节病变为主的RA患者中,肌肉病变更为明显。