早期诊断为幼年特发性关节炎、强直性脊柱炎的银屑病关节炎一例  

Early diagnosis of juvenile idiopathic arthritis and ankylosing spondylitis in one patient with psoriatic arthritis

作　　者：武加标 任敏[1] 徐霞[2] 赵东宝[2] 

机构地区：[1]江苏大学附属武进医院风湿科,常州213017 [2]第二军医大学附属长海医院风湿免疫科,上海200000

出　　处：《新医学》2017年第11期821-824,共4页Journal of New Medicine

摘　　要：银屑病关节炎(PsA)是银屑病患者发生的一种炎性关节炎。它可以影响身体的任何关节,可能影响一个关节或多个关节。该文报道了1例年轻女性,因反复多关节肿痛13年、腰骶疼痛9年、皮疹3个月入院,患者在起病后先后被诊断为幼年特发性关节炎、强直性脊柱炎,最后结合临床表现、影像学,确诊为PsA,经过生物制剂联合慢作用抗风湿药(DMARD)治疗后好转。该例提示,以多关节炎为主要表现的PsA起病隐匿,因此详细缜密的体格检查尤为重要,DMARD治疗PsA有效。Psoriatic arthritis （PsA） is a type of inflammatory arthritis in patients diagnosed with pso-riasis. It can simply ￡dfect one joint or even multiple joints simultaneously. In this report , a young female pa-tient was admitted to our hospital due to recurrent joint pain for 13 years , lumbosacral pain for 9 years and rash for 3 months. She was initially diagnosed with juvenile idiopathic arthritis and ankylosing spondylitis. Consider-ing the clinical manifestations and imaging findings , she was eventually diagnosed with PsA. Relevant symp-toms were mitigated after biological agent in combination with disease modifying antirheumatic drug （DMARD）.This case hints that the onset of PsAmainly manifested with polyarthritis is reclusive. Explicit physicaination should be performed to make a diagnosis. DMARDis an efficacious treatment of PsA.

关 键 词：脊柱关节病 生物制剂 幼年特发性关节炎 银屑病关节炎 

分 类 号：R593.23[医药卫生—内科学]