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结核性变态反应性关节炎又称结核性风湿症,由于其表现与风湿性关节炎相似,故易误诊。近年来,我院收治误诊患者24例,现分析如下。1.临床资料:本组年龄14～50岁,病程2～21年。确诊为肺结核病前均有发热、多发游走性骨关节疼痛史,其中伴皮肤结节性红斑8例,多形性渗出性红斑及皮下小结各5例,疱疹性眼结膜炎2例。在外院误诊为风湿性关节炎22例,风湿热及腰肌劳损各1例。患者在院外因应用激素及抗风湿药
Tuberculous allergic arthritis, also known as tuberculous rheumatism, due to its performance similar to rheumatoid arthritis, it is easy to misdiagnosis. In recent years, our hospital admitted to patients with misdiagnosed 24 cases, are analyzed as follows. 1. Clinical data: The group aged 14 to 50 years old, duration of 2 to 21 years. Before diagnosis of tuberculosis are fever, multiple migratory bone and joint pain history, including 8 cases with erythema nodosum, erythema multiforme and subcutaneous nodules in 5 cases, herpes eye conjunctivitis in 2 cases. In the outer court misdiagnosed as rheumatoid arthritis in 22 cases, rheumatic fever and lumbar muscle strain in 1 case. Patients outside the hospital due to the application of hormones and anti-rheumatic drugs