脊柱关节炎与蒂特兹综合征:重新评估

IF 1.8 4区 医学 Q3 RHEUMATOLOGY
Yasunori Matsuki, Tadashi Nakamura
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引用次数: 0

摘要

脊柱关节炎包括许多相关但不同的疾病,它们的表型各不相同:银屑病关节炎、反应性关节炎、炎症性肠病相关关节炎、未分化关节炎和强直性脊柱炎(众所周知的原型亚型)。类风湿性关节炎、滑膜炎-痤疮-脓疱病-骨质疏松-骨炎综合征、脓疱性关节骨膜炎、痛风和脊柱关节炎等风湿性疾病很难鉴别,因为它们都可能表现为上胸前壁肿胀,经常累及胸骨和/或胸锁关节,并明显表现出皮肤结节症状,因此在表现上可能与蒂泽综合征相似。Tietze's 综合征是一种良性、自限性疾病,上前胸壁,尤其是第二和第三肋胸骨交界处和胸锁关节处有触痛性、非化脓性肿胀。因此,在整个病程中将脊柱关节炎与蒂特兹综合征区分开来非常重要,即使是在最初的初步诊断之后。本文旨在重新评估脊柱关节炎鉴别诊断中 Tietze's 综合征的重要性,同时牢记有关影响上前胸壁的风湿性疾病的信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spondyloarthritis and Tietze’s syndrome: A Re-evaluation
Spondyloarthritis comprises a number of related but different disorders with distinct phenotypes: psoriatic arthritis, reactive arthritis, arthritis related to inflammatory bowel disease, undifferentiated arthritis, and ankylosing spondylitis (the well-known prototypic subtype). Differentiating rheumatic diseases, such as rheumatoid arthritis, synovitis-acne-pustulosis-hyperostosis-osteitis syndrome, pustulotic arthro-osteitis, gout and spondyloarthritis, is difficult because they all may manifest swelling at the upper anterior chest wall, often involve the sternocostal and/or sternoclavicular joints, and clearly show cutaneous nodular symptoms, so that they may mimic Tietze’s syndrome in the presentation. Tietze’s syndrome is a benign, self-limiting entity with tender, non-suppurative swelling in the upper anterior chest wall, especially at the second and third costosternal junctions and the sternoclavicular joint. Therefore, distinguishing spondyloarthritis from Tietze’s syndrome during an entire disease course is important, even after an initial tentative diagnosis. This article aims to re-evaluate the importance of Tietze’s syndrome in the differential diagnosis of spondyloarthritis, while keeping in mind information about rheumatic diseases affecting the upper anterior chest wall.
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来源期刊
Modern Rheumatology
Modern Rheumatology RHEUMATOLOGY-
CiteScore
4.90
自引率
9.10%
发文量
146
审稿时长
1.5 months
期刊介绍: Modern Rheumatology publishes original papers in English on research pertinent to rheumatology and associated areas such as pathology, physiology, clinical immunology, microbiology, biochemistry, experimental animal models, pharmacology, and orthopedic surgery. Occasional reviews of topics which may be of wide interest to the readership will be accepted. In addition, concise papers of special scientific importance that represent definitive and original studies will be considered. Modern Rheumatology is currently indexed in Science Citation Index Expanded (SciSearch), Journal Citation Reports/Science Edition, PubMed/Medline, SCOPUS, EMBASE, Chemical Abstracts Service (CAS), Google Scholar, EBSCO, CSA, Academic OneFile, Current Abstracts, Elsevier Biobase, Gale, Health Reference Center Academic, OCLC, SCImago, Summon by Serial Solutions
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