盘点风湿病相关的几种关节炎,一文读懂!
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一文读懂风湿病相关关节炎!
![](http://img1.9toutiao.com/uploads/20190831/9Fop00dvvmyia-www.9toutiao.com.jpeg)
什么是关节炎?
![](http://img1.9toutiao.com/uploads/20190831/9Fjxy4rzpj40o-www.9toutiao.com.jpeg)
风湿性疾病分类
(1993美国风湿病学会)
![](http://img1.9toutiao.com/uploads/20190831/9F412tvbn10vb-www.9toutiao.com.jpeg)
读懂关节炎,抓住八个要点
(1)什么关节受累?
![](http://img1.9toutiao.com/uploads/20190831/9Fyx2txyvrkru-www.9toutiao.com.jpeg)
(2)起病缓急,持续时间和演变
![](http://img1.9toutiao.com/uploads/20190831/9Fe1vui54kuny-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Fhykhuwqrfey-www.9toutiao.com.jpeg)
(3)疼痛性质,与关节活动关系
![](http://img1.9toutiao.com/uploads/20190831/9F3n3dhb4ymte-www.9toutiao.com.jpeg)
晨僵
![](http://img1.9toutiao.com/uploads/20190831/9Fuly55gb20eh-www.9toutiao.com.jpeg)
晨僵与骨关节炎“胶着感”区别
![](http://img1.9toutiao.com/uploads/20190831/9Fieisgwveduo-www.9toutiao.com.jpeg)
(4)关节受累特点
重点关注:是否呈对称性,受累关节为大关节还是小关节,多关节还是单关节?是否牵扯到脊柱中轴?
多关节受累
![](http://img1.9toutiao.com/uploads/20190831/9Fzrxpb2yeeqv-www.9toutiao.com.jpeg)
单关节或少关节受累
![](http://img1.9toutiao.com/uploads/20190831/9Fukrywgnakaa-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Foy34aqb1huc-www.9toutiao.com.jpeg)
中轴脊柱受累的疾病
![](http://img1.9toutiao.com/uploads/20190831/9Fjfn1ijqurvs-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Fkvc553gly5j-www.9toutiao.com.jpeg)
(5)疼痛是否影响关节的附属结构(肌腱、韧带、滑囊)
![](http://img1.9toutiao.com/uploads/20190831/9Fvdwqi0jrpq0-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Fxgfidto1g2v-www.9toutiao.com.jpeg)
(6)是否伴随其他症状
![](http://img1.9toutiao.com/uploads/20190831/9F0e032m3hrqn-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Fdmyrmcbotpo-www.9toutiao.com.jpeg)
皮肤黏膜典型改变
![](http://img1.9toutiao.com/uploads/20190831/9Fejpitxkakkj-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9F031xirbtfuk-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Fqriangk23om-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Ff0ub5bj0juk-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Fbeevn42lk5v-www.9toutiao.com.jpeg)
肌肉乏力,别忘记纤维肌痛
![](http://img1.9toutiao.com/uploads/20190831/9F5a2bwpkd3r0-www.9toutiao.com.jpeg)
眼耳鼻喉典型改变
![](http://img1.9toutiao.com/uploads/20190831/9Fa3tsz4avd12-www.9toutiao.com.jpeg)
在关注关节炎同时
一定要注意关节外表现
![](http://img1.9toutiao.com/uploads/20190831/9Flyz5pohhe10-www.9toutiao.com.jpeg)
(7)起病年龄,性别,过去史和遗传史
![](http://img1.9toutiao.com/uploads/20190831/9F3yug2sy5u4b-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Fqvbbavkmf5i-www.9toutiao.com.jpeg)
(8)辅助检查特点
![](http://img1.9toutiao.com/uploads/20190831/9Fo14vg2pxm1r-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9F4wxbjm0rkq0-www.9toutiao.com.jpeg)
![](http://img1.9toutiao.com/uploads/20190831/9Fx53phcqcocc-www.9toutiao.com.jpeg)