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目的探讨原发性干燥综合征误诊为类风湿关节炎的原因,提出防范误诊措施。方法对52例原发性干燥综合征误诊资料进行回顾性分析。结果 52例主要表现为关节痛伴风湿因子(RF)阳性患者院前被误诊为类风湿关节炎。结论原发性干燥综合征可有类风湿关节炎相似的表现,容易误诊。通过提高医生对风湿免疫疾病认识,加强学科之间协作,对表现为关节痛伴RF阳性患者注意鉴别诊断,可减少误诊。
Objective To investigate the causes of misdiagnosis of primary Sjogren’s syndrome as rheumatoid arthritis and to propose preventive measures against misdiagnosis. Methods A retrospective analysis of misdiagnosis data of 52 cases of Sjogren’s syndrome. Results The main manifestations of 52 cases were rheumatoid factor (RF) positive patients with arthralgia were misdiagnosed as rheumatoid arthritis before hospitalization. Conclusion Primary Sjogren’s syndrome may have rheumatoid arthritis similar performance, easy to misdiagnosis. By increasing doctors’ understanding of rheumatoid immune diseases, strengthening collaboration among disciplines and paying attention to differentiating diagnosis of patients with RF-positive joint pain, it can reduce misdiagnosis.