60例复发性风湿综合征临床分析  

Palindromic rheumatism:a clinical analysis of 60 cases

作　　者：肖征宇[1] 黄少弼[1] 

机构地区：[1]汕头大学医学院第一附属医院内科,汕头515041

出　　处：《中国基层医药》2003年第8期724-725,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨复发性风湿综合征的临床特点及预后。方法　分析 6 0例复发性风湿综合征的临床资料。结果　 6 0例病人均表现为反复突然发作的关节肿痛 ,多于数小时或数天内自行缓解 ,间歇期内无症状或异常体征 ,实验室检查也无异常改变。受累关节依次为腕关节、近端指间关节、膝关节、跖趾关节、踝关节、肩关节及髋关节。所有病人在发作期间使用非甾体抗炎药或小剂量强的松 (5～ 10mg/d)治疗均得到满意疗效。结论　本综合征预后良好 ,诊断主要根据典型临床特点 ,通过定期随访排除其他结缔组织病如类风湿关节炎、红斑狼疮和痛风等 ,则可诊断本病。Objective To explore the clinical features of palindromic rheumatism(PR).Methods Sixty patients with PR were analyzed.Results Sixty patients with typical clinical manifestations were found the episodes of acute arthritis.Each episode of arthritis usually lasted from a few hours to several days before disappearing complately without no residual articular effect.The affected joints included wrists,PIP,knees,soles,ankles and shoulders with redness and swelling.All patients were cured with NSAIDs or low doses cortisone(predinison 5～10mg/d) during the attack of arthritis.Conclusion The prognosis of the syndrome is quite good.It's diagnosis depends on the typical clinical features and exclusion of some connective tissue diseases such as rheumatoid arthritis disease,SLE,gout etc by the regular follow up.

关 键 词：复发性风湿综合征 临床分析 临床特点 预后 实验室检查 

分 类 号：R593.21[医药卫生—内科学]