晚期诊断牛皮关节炎呈现感染类型的手指炎症:一个病例报告
Sho Takahashi1, Yasuhiro Kiyota1, Takuji Iwamoto1
1Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Modern rheumatology case reports
|February 2, 2026
概括
当关节炎在皮肤症状之前出现时,诊断牛皮关节炎是很困难的. 早期识别持续性关节炎和监测皮肤变化对于及时诊断牛皮性关节炎和预防关节损伤至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
背景情况:
- 牛皮关节炎 (PsA) 是一种与牛皮相关的慢性炎症状况.
- 由于非特异性症状和延迟的皮肤表现,诊断可能具有挑战性.
- 早期的PsA诊断对于预防不可逆转的关节损伤至关重要.
研究的目的:
- 报告一个PsA病例,最初呈现为急性手指炎症,模仿感染.
- 为了突出诊断挑战,当关节炎之前牛皮.
- 强调在持久性关节炎病例中考虑PsA的重要性.
主要方法:
- 一个46岁的妇女正在接受化疗的案例报告.
- 最初的诊断是发烧性柔器紧综合炎,随后是反应性关节炎.
- 使用体检,实验室测试,MRI和血清学测试.
- 在斑块性牛皮出现后,确定的PsA诊断得到确认.
主要成果:
- 最初的错误诊断和延迟的PsA确认.
- 患者在最初的关节炎发作四年后出现了斑块性牛皮.
- 用疾病修饰性抗风湿药物治疗改善了症状.
- 尽管接受了治疗,但仍有残留的关节形和有限的运动.
结论:
- 这个案例强调了PsA的诊断困难,当关节炎在皮肤病变之前时.
- 临床医生应该怀疑PsA在持久性或耐火性关节炎中.
- 密切监测皮肤和指甲变化对于早期PsA诊断至关重要.
相关概念视频
Inflammation
62.1K
Overview
62.1K
Muscles of the Forearm that Move the Hand and Fingers
2.6K
The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
2.6K
Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
Nursing Diagnosis
4.1K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
4.1K
Types of Reports I: Hands-off Report
1.5K
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
1.5K
Types of Reports II: Incident or Occurrence Report
1.3K
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
1.3K


