本文關(guān)鍵詞： 神經(jīng)源性關(guān)節(jié)病 類(lèi)風(fēng)濕關(guān)節(jié)炎 脊髓空洞癥　出處：《臨床軍醫(yī)雜志》2016年11期 　論文類(lèi)型：期刊論文

【摘要】：正1臨床資料患者女性,52歲,農(nóng)民,主因"雙手腕關(guān)節(jié)疼痛3年、活動(dòng)障礙1年"于2016年1月就診于蘭州軍區(qū)蘭州總醫(yī)院。3年前,患者感雙手腕關(guān)節(jié)疼痛不適,腫脹不明顯,伴晨僵,在當(dāng)?shù)蒯t(yī)院考慮為"類(lèi)風(fēng)濕關(guān)節(jié)炎",開(kāi)始服用小劑量強(qiáng)的松、甲氨蝶呤以及布洛芬等非甾體抗炎藥物,疼痛癥狀有所減輕。近1年,患者逐漸出現(xiàn)雙手近端指關(guān)節(jié)活動(dòng)受限。病程中無(wú)下肢關(guān)節(jié)疼痛。既往無(wú)結(jié)核病、痛風(fēng)、糖尿病史;家族無(wú)類(lèi)風(fēng)濕關(guān)節(jié)炎病史。體格檢查:雙手近端掌指關(guān)節(jié)、腕關(guān)
[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
【作者單位】： 蘭州軍區(qū)蘭州總醫(yī)院風(fēng)濕免疫科;
【分類(lèi)號(hào)】：R744.4
【正文快照】： 1臨床資料患者女性,52歲,農(nóng)民,主因“雙手腕關(guān)節(jié)疼痛3年、活動(dòng)障礙1年”于2016年1月就診于蘭州軍區(qū)蘭州總醫(yī)院。3年前,患者感雙手腕關(guān)節(jié)疼痛不適,腫脹不明顯,伴晨僵,在當(dāng)?shù)蒯t(yī)院考慮為“類(lèi)風(fēng)濕關(guān)節(jié)炎”,開(kāi)始服用小劑量強(qiáng)的松、甲氨蝶呤以及布洛芬等非甾體抗炎藥物,疼痛癥狀有所

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