小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
- 外周关节炎
- 中轴关节炎
其他诊断因素
- 全身性症状
- 附着点炎
- 粘膜受累
- 皮疹
- 环状阴茎头炎
- 眼部表现
- 心脏表现
危险因素
- 男性
- HLA-B27 基因型
- 已有衣原体或胃肠感染
- BCG 免疫治疗
诊断性检查
首要检查
- 红细胞沉降率 (ESR)
- C 反应蛋白 (CRP)
- 抗核抗体 (ANA)
- 类风湿因子
- 泌尿生殖系统和粪便培养
- X 线平片检查
- 关节穿刺术结合滑液分析
需考虑的检查
- HLA-B27
- 核酸扩增试验
- 核磁共振成像 (MRI)
- 超声
治疗流程
症状缓解
持续性或慢性反应性关节炎
撰稿人
作者
John D. Carter, MD
Professor of Medicine
Division of Rheumatology
Chief
University of South Florida College of Medicine
Tampa
FL
利益声明
JDC is on the speakers bureau for Abbvie and Amgen. JDC is a co-author of several references cited in this topic.
鸣谢
Dr John D. Carter would like to gratefully acknowledge Dr Jason P. Guthrie, a previous contributor to this topic. JPG declares that he has no competing interests.
同行评议者
J.S.H. Gaston, MA, PhD, BM, BCh, FRCP, FMedSci
Professor of Rheumatology
University of Cambridge
Cambridge
UK
利益声明
JSHG declares that he has no competing interests.
Luis R. Espinoza, MD
Professor and Chief
Section of Rheumatology
Department of Internal Medicine
LSU Health Sciences Center
New Orleans
LA
利益声明
LRE is a co-author of several references cited in this topic. Unfortunately, we have since been made aware that Dr Luis R. Espinoza is deceased.
内容使用需遵循免责声明