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目的 探讨复发性风湿综合征的临床特点及预后。方法 分析 6 0例复发性风湿综合征的临床资料。结果 6 0例病人均表现为反复突然发作的关节肿痛 ,多于数小时或数天内自行缓解 ,间歇期内无症状或异常体征 ,实验室检查也无异常改变。受累关节依次为腕关节、近端指间关节、膝关节、跖趾关节、踝关节、肩关节及髋关节。所有病人在发作期间使用非甾体抗炎药或小剂量强的松 (5～ 10mg/d)治疗均得到满意疗效。结论 本综合征预后良好 ,诊断主要根据典型临床特点 ,通过定期随访排除其他结缔组织病如类风湿关节炎、红斑狼疮和痛风等 ,则可诊断本病。
Objective To investigate the clinical features and prognosis of recurrent rheumatic syndrome. Methods 60 cases of recurrent rheumatic syndrome clinical data. Results Sixty patients showed repeated episodes of joint swelling and pain, more than a few hours or days to ease themselves, intermittent asymptomatic or abnormal signs, laboratory tests also showed no abnormal changes. Affected joints followed by the wrist, proximal interphalangeal joint, knee, metatarsophalangeal joint, ankle, shoulder and hip joint. All patients in the attack during the use of non-steroidal anti-inflammatory drugs or small doses of prednisone (5 ~ 10mg / d) were treated with satisfactory results. Conclusion The prognosis of this syndrome is good. The diagnosis is mainly based on typical clinical features. The disease can be diagnosed by regular follow-up to exclude other connective tissue diseases such as rheumatoid arthritis, lupus erythematosus and gout.