Bajaj S, Bell M J, Shumak S, Briones-Urbina R
The University of Toronto, The Rheumatic Disease Unit, Sunnybrook Health Sciences Center, Ontario, Canada.
J Rheumatol. 1998 Jun;25(6):1235-9.
We describe a recent clinical case experience of antithyroid arthritis syndrome and literature search from 1965 to 1996 on antithyroid medication and associated arthritis using MEDLINE and EMBASE. The antithyroid arthritis syndrome is a transient migratory polyarthritis that occurs within 2 months of starting thionamide treatment, and resolves within 4 weeks of stopping therapy. Discontinuation of medication is necessary. Alternative forms of treatment for hyperthyroidism should be sought. Nonsteroidal antiinflammatory drug or treatment of the rheumatic complaints is recommended or if unsuccessful, corticosteroid treatment.
我们描述了抗甲状腺关节炎综合征的近期临床病例经验,并利用医学在线数据库(MEDLINE)和荷兰医学文摘数据库(EMBASE)对1965年至1996年间有关抗甲状腺药物及相关关节炎的文献进行了检索。抗甲状腺关节炎综合征是一种短暂性游走性多关节炎,发生于开始硫酰胺类药物治疗的2个月内,并在停药后4周内缓解。必须停药。应寻求治疗甲状腺功能亢进的其他方法。推荐使用非甾体抗炎药或治疗风湿性疾病,若治疗失败,则使用皮质类固醇治疗。