Bouysset M, Bouvier M
Service Prs Meunier, P. Delmas Hôpital Edouard-Herriot, Lyon.
Rev Prat. 1997 Jan 1;47(1):43-9.
The pathology of the foot is frequent in the inflammatory rheumatisms. It can finally contribute to the diagnosis. In rheumatoid arthritis, the metatarso-phalangeal joint involvement appears earlier and more obvious. The lesion of the midrearfoot is later and the beginning is more indisious, they often evolve in pes plano valgus deformity. In spondylarthropathies the involvement of the heel and of the toes predominates, but there are more specific symptoms for each disease particularly for the psoriasic rheumatism. Local cares, plantar orthoses, casts, corticosteroid injections, synoviortheses as well as a good hygiene of life are very useful. Surgery helps to keep the functional ability of the patient and its indications must be known.
足部病变在炎性风湿病中很常见。它最终有助于诊断。在类风湿性关节炎中,跖趾关节受累出现得更早且更明显。后足中部病变出现较晚且起病更隐匿,常发展为扁平外翻足畸形。在脊柱关节病中,足跟和脚趾受累较为突出,但每种疾病都有更具特异性的症状,尤其是银屑病性风湿病。局部护理、足底矫形器、石膏固定、皮质类固醇注射、滑膜切除术以及良好的生活卫生习惯都非常有用。手术有助于保持患者的功能能力,必须了解其适应症。