摘要
目的:总结关节病型银屑病的临床特点。方法:对30例关节病型银屑病患者的临床资料进行回顾性分析。结果:本组病例的平均发病年龄为31.4岁,男:女为1:1。以皮损为首发者26例(86.6%);皮损和关节症状同时出现者2例(6.7%);以关节炎为首发者2例(6.7%)。皮损类型为寻常型27例(90%)。关节炎分类为对称性多关节炎型12例(40%);其次为远端指(趾)关节炎型7例(23.3%);非对称性关节炎型6例(20%);最后为残毁性关节炎型3例(10%);脊柱关节病变型2例(6.7%)。经x线检查的26例患者中,23例阳性(88.5%)。常见的改变有关节间隙变窄、骨质疏松、骨质吸收等。结论:各型银屑病皮损都可伴发关节炎病变。对称性多关节炎和远端指(趾)关节炎、非对称性少数关节炎是本病的主要特点。
Objective: To investigate the clinical features of psoriatic arthritis (PsA). Methods: The clinical data on 30 patients with PsA were analysed retrospectively. Results: Among the 30 patients, the average age of onset was 31.4 year - old with a male to female ratio of 1 : 1. The skin lesions presented piror to arthritis in 26 cases (86.6%). Both skin and joint symptoms appeared simultaneously in 2 cases (6.7%) and arthritis piror to skin lesions occurred in other 2 cases (6.7%). Psoriasis vulgaris accounted for 90% (27/30). Twelve cases (40%) presented as symmetrical polyarthritis, the others were distal interphalangeal predominant in 7 (23.3%), asymmetrical arthritis 6 (20%), arthritis multilans 3 ( 10 % ) and spondyloarthropathy 2 (6.7 % ). Joint damages were demonstrated in 23 (88.5 % ) of 26 cases received X - ray examinations. The common radiological findings were narrow of joint space, osteporosis and erosive changes. Conclusion: Arthropathy can be observed in all the types of psoriasis. Symmetrical polyarthritis, distal interphalangeal joints and asymmetrical arthritis are the characteristics of PsA.
出处
《中国麻风皮肤病杂志》
2009年第1期13-15,共3页
China Journal of Leprosy and Skin Diseases