论文部分内容阅读
本病多见于50岁以上者,因缺乏特异性检查,易被漏诊;如伴有白细胞性动脉炎时且有导致失明的危险,因此应对本病予以重视。本病是以颈、肩胛、腰及四肢肌肉疼痛、僵硬为特征的疾病,发病多急骤,常在睡眠后的翌晨突然肌肉僵硬疼痛易不能起床或站立,常伴有发热(37~38℃),全身倦怠、乏力、食欲不振、体重减轻等症状。查体可有肌肉压痛,肩、胸锁关节压痛及膝关节滑膜炎所见,而无肌力低下、结节及皮肤痛等。实验室检查血沉增快(50~100mm/小时)、
The disease more common in patients over the age of 50, due to the lack of specific examination, easily missed diagnosis; such as associated with leukocyte arteritis and lead to blindness, so should pay attention to the disease. The disease is characterized by neck, shoulder, waist and limb muscle pain, stiffness characterized by multiple diseases, more rapid onset, often in the morning after sleep sudden stiff muscle pain easily can not get up or stand, often accompanied by fever (37 ~ 38 ℃ ), Systemic fatigue, fatigue, loss of appetite, weight loss and other symptoms. Physical examination may have muscle tenderness, shoulder, sternoclavicular joint tenderness and knee joint synovitis seen, without low strength, nodules and skin pain and so on. Laboratory tests erythrocyte sedimentation rate increased (50 ~ 100mm / hour)