超变性骨关节炎模仿类风湿性关节炎
Alina Abid1, Umer Nawaz2, Kehinde O Sunmboye3,4
1Internal Medicine, University Hospitals of Leicester National Health Service Trust, Leicester, GBR.
Cureus
|October 10, 2024
概括
过度缩性骨关节病 (HOA) 可以在癌症患者中模仿类风湿性关节炎. 在炎症性关节炎病例中识别HOA,特别是具有阳性类风湿性关节炎抗体,对于及时诊断和治疗潜在恶性瘤至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 在瘤学瘤学.
- 内部医学 内部医学
背景情况:
- 麻性类风湿综合征呈现为恶性瘤次要的类风湿性疾病.
- 缩性骨关节病 (HOA) 是一种神经瘤综合征,通常与胸内癌症有关.
- 炎症性关节炎症状可以掩盖潜在的恶性瘤.
研究的目的:
- 为了突出一个模仿类风湿性关节炎的缩性骨关节病例.
- 为了强调麻综合征所带来的诊断挑战.
- 强调在炎症性关节炎的差异诊断中考虑HOA的重要性.
主要方法:
- 案例报告的呈现方式.
- 临床和实验室数据的审查.
- 在怀疑恶性瘤的患者中对炎症性关节炎的差异诊断.
主要成果:
- 一名患者出现了对称多关节炎,与老年发病的类风湿性关节炎一致.
- 诊断显示,高性骨关节病是肺腺癌的次要原因.
- 观察到抗循环素抗原 (anti-CCP) 抗体的升高,这是类风湿性关节炎的常见发现,但也在其他疾病中见到.
结论:
- 在炎症性关节炎的差异诊断中,应考虑多变性骨关节病,特别是在患有恶性瘤的患者中.
- 解释抗CCP抗体结果需要临床相关性,因为潜在的错误升高.
- 治疗潜在的恶性瘤可以显著改善类风湿和瘤的结果.
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