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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 manifestations of sarcoidosis to improve the understanding of sarcoidosis. Methods The clinical data of 63 patients with pathologically confirmed sarcoidosis were retrospectively analyzed. Results Thirteen cases showed joint performance (20.6%). 7 cases were arthritis, of which 5 cases had arthritis less than 4 joints during the course of their disease, mostly involving the knee joints, ankles and wrists, mostly asymmetrical; 2 cases had arthritis Joint number ≥ 5; 6 cases of joint pain. Conclusion The joint manifestations of sarcoidosis can be divided into less arthritis, polyarthritis and joint pain three types. The performance of their joints have certain characteristics, but no specificity. On the occurrence of joint damage, take into account the possibility of sarcoidosis.