脊髓空洞症引起神经源性关节病误诊为类风湿关节炎1例

发布时间：2018-01-19 07:08

本文关键词： 神经源性关节病类风湿关节炎脊髓空洞症　出处：《临床军医杂志》2016年11期 　论文类型：期刊论文

【摘要】：正1临床资料患者女性,52岁,农民,主因"双手腕关节疼痛3年、活动障碍1年"于2016年1月就诊于兰州军区兰州总医院。3年前,患者感双手腕关节疼痛不适,肿胀不明显,伴晨僵,在当地医院考虑为"类风湿关节炎",开始服用小剂量强的松、甲氨蝶呤以及布洛芬等非甾体抗炎药物,疼痛症状有所减轻。近1年,患者逐渐出现双手近端指关节活动受限。病程中无下肢关节疼痛。既往无结核病、痛风、糖尿病史;家族无类风湿关节炎病史。体格检查:双手近端掌指关节、腕关
[Abstract]:A 52-year-old female patient with clinical data, farmer, was admitted to Lanzhou General Hospital of Lanzhou military region on January 2016, mainly because of "pain in both wrists and joints for 3 years and one year of dyskinesia". 3 years ago. Patients with pain, swelling and morning stiffness of the wrists and joints were considered "rheumatoid arthritis" in local hospitals and began taking low-dose non-steroidal anti-inflammatory drugs such as prednisone, methotrexate, and ibuprofen. The pain symptoms were alleviated. In the past one year, the patients gradually developed limited movement of the proximal phalangeal joints of both hands. There was no lower limb joint pain in the course of the disease. There was no history of tuberculosis, gout and diabetes in the past. No family history of rheumatoid arthritis. Physical examination: proximal metacarpophalangeal joint of hands, wrist closure
【作者单位】：兰州军区兰州总医院风湿免疫科;
【分类号】：R744.4
【正文快照】： 1临床资料患者女性,52岁,农民,主因“双手腕关节疼痛3年、活动障碍1年”于2016年1月就诊于兰州军区兰州总医院。3年前,患者感双手腕关节疼痛不适,肿胀不明显,伴晨僵,在当地医院考虑为“类风湿关节炎”,开始服用小剂量强的松、甲氨蝶呤以及布洛芬等非甾体抗炎药物,疼痛症状有所

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