结节病的关节表现

Articular manifestations of sarcoidosis

目的 分析结节病的临床表现特点 ,以提高对结节病关节表现的认识。方法 回顾性分析经病理证实的 6 3例结节病患者临床资料。结果 13例出现关节表现 (2 0 6 % )。 7例为关节炎 ,其中 5例在病程中发生关节炎的关节数≤ 4个 ,以膝、踝、腕等大关节受累为主 ,多呈非对称性 ;2例在病程中发生关节炎的关节数≥ 5个 ;6例为关节痛。结论 结节病的关节表现可分为少关节炎、多关节炎和关节痛 3种类型。其关节表现有一定的特点 ,但无特异性。对出现关节损害者 ,需考虑到结节病的可能。

Objective To analyze the clinical features of sarcoidosis for improving the recognition of the articular manifestations of sarcoidosis.Methods The clinical data of 63 patients with sarcoidosis confirmed by biopsy were retrospectively analyzed.Results In 13 patients with sarcoidosis articular manifestations appeared (20 6%).Seven patients with sarcoidosis showed arthritis.Five patients of them showed oligoarthritis that was asymmetric and affected especially knees,ankles and ivrists.Two patients of them showed polyarthritis.Six patients with sarcoidosis showed arthralgia.Conclusion The articular manifestations of sarcoidosis may be divided into 3 types which are oligoarthritis,polyarthritis and arthralgia.The articular manifestations of sarcoidosis are of no specific characteristics.The diagnotic possibility of sarcoidosis should be considered for the joint involvements.