[关节疼痛--风湿病?]

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-09-01 Epub Date: 2024-09-09 DOI:10.1055/a-2329-6673
Frank Moosig, Julia U Holle
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引用次数: 0

摘要

肌肉骨骼系统疼痛,因此关节疼痛是向全科医生(GP)咨询的最常见原因之一。炎症性风湿病是重要的鉴别诊断之一。然而,风湿病的发病率明显低于退化性疼痛。如果全科医生能更好地区分疼痛的原因,就能避免错误的转诊。本文介绍了第一个鉴别诊断步骤,使全科医生更容易做出进一步的治疗决定。文章讨论了体格检查、实验室诊断和影像学检查,并介绍了 "临床可疑关节痛 "的概念以及糖皮质激素治疗试验的可能效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Joint pain - a rheumatic disease?]

Pain in the musculoskeletal system and therefore joint pain is one of the most common reasons for consulting a general practitioner (GP). Inflammatory rheumatic diseases are among the important differential diagnoses. However, the prevalence of rheumatological diseases is significantly lower than that of degenerative causes of pain. Incorrect referrals can be avoided if the causes of pain are better differentiated in GP practices. This article presents the first differential diagnostic steps that make it easier for the GP to make further treatment decisions. Physical examination, laboratory diagnostics and imaging are discussed, and the concept of "clinically suspect arthralgia" as well as the possible effects of treatment trials with glucocorticoids are presented.

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