脊柱關(guān)節(jié)炎鑒別診斷圖譜

脊柱關(guān)節(jié)炎 案例1 髖痛-背痛-頸部活動(dòng)受限 ························································ 2 案例2 老年男性-慢性腰痛-脊柱骨贅形成 ············································ 6 案例3 老年男性-慢性腰痛-虹膜炎 ····················································· 9 案例4 胸痛-發(fā)熱-腰背痛-多關(guān)節(jié)腫痛 ··············································· 14 案例5 臀區(qū)痛-前胸壁疼痛-左膝腫痛 ················································· 18 案例6 臀區(qū)痛-CRP升高-PPD試驗(yàn)強(qiáng)陽性 ············································ 22 案例7 腰背痛-多關(guān)節(jié)腫痛-持續(xù)右肩腫脹 ··········································· 26 案例8 腰背痛-頸部疼痛-摔傷后加重 ················································ 29 案例9 臀區(qū)痛-腰痛-負(fù)重后加重 ······················································· 32 案例10 腰背痛-關(guān)節(jié)痛-頸部活動(dòng)受限 ··············································· 35 案例11 炎性腰背痛-多發(fā)骨橋-咳嗽后機(jī)械性腰背痛 ····························· 39 案例12 腰背痛-周身疼痛-腰椎三柱病變 ············································ 44 案例13 臀區(qū)痛-左膝腫痛-低熱 ························································ 48 案例14 交替性雙髖疼痛-腰背痛-發(fā)熱 ··············································· 51 案例15 青年男性-寡關(guān)節(jié)炎-抗環(huán)瓜氨酸肽抗體陽性-關(guān)節(jié)結(jié)構(gòu)破壞 ·········· 55 案例16 腰背痛-多關(guān)節(jié)腫痛-發(fā)熱 ····················································· 59 與脊柱關(guān)節(jié)炎有類似表現(xiàn)的其他風(fēng)濕性疾病 案例17 間斷腰痛-胸鎖關(guān)節(jié)腫痛-掌跖膿皰病 ······································ 64 案例18 胸痛-手足膿皰-慢性髖關(guān)節(jié)痛 ··············································· 68 案例19 右髖痛-骨肥厚-痤瘡-膿皰病 ················································· 72 案例20 腰痛-左腿疼痛-右鎖骨區(qū)疼痛-雙手皮疹 ·································· 77 案例21 發(fā)熱-多關(guān)節(jié)腫痛-骨破壞-白細(xì)胞減少 ····································· 81 案例22 踝痛-臀區(qū)痛-腰背痛 ··························································· 87 案例23 發(fā)作性關(guān)節(jié)腫痛-腰痛-高尿酸血癥 ········································· 90 案例24 多關(guān)節(jié)腫痛-頸部疼痛-鞏膜藍(lán)染 ············································ 93 案例25 肘關(guān)節(jié)活動(dòng)受限-膝痛-髖痛 ·················································· 98 案例26 頸后區(qū)疼痛-外周關(guān)節(jié)疼痛 ·················································· 102 需與脊柱關(guān)節(jié)炎相鑒別的感染性疾病 案例27 臀區(qū)疼痛-腰背痛-發(fā)熱 ······················································ 108 案例28 反復(fù)發(fā)熱-關(guān)節(jié)腫痛-非甾體抗炎藥效果欠佳 ···························112 案例29 臀區(qū)痛-發(fā)熱-呼吸困難-骶髂關(guān)節(jié)炎 ·······································116 案例30 發(fā)熱-頸痛-胸痛-背痛 ························································ 120 案例31 腰背痛-發(fā)熱-骶髂關(guān)節(jié)炎 ··················································· 123 案例32 肌痛-指端潰瘍-右膝關(guān)節(jié)腫痛 ············································· 126 案例33 雙手遇冷變白-多關(guān)節(jié)疼痛-下肢無力 ···································· 130 需與脊柱關(guān)節(jié)炎相鑒別的腫瘤性疾病 案例34 發(fā)熱-臀區(qū)痛-全血細(xì)胞減少-淋巴結(jié)腫大 ································ 136 案例35 腰背痛-關(guān)節(jié)痛-嗜酸性粒細(xì)胞增高-骶髂關(guān)節(jié)炎 ······················· 139 案例36 血細(xì)胞減少-腰背痛-發(fā)熱 ··················································· 143 案例37 右髖疼痛-低熱-腰背疼痛 ··················································· 148 案例38 多關(guān)節(jié)屈曲-多關(guān)節(jié)腫脹-駝背-張口受限 ································ 152 案例39 臀區(qū)痛-骶髂關(guān)節(jié)骨質(zhì)破壞-軟組織腫塊 ································· 157 案例40 腰痛-肌無力-蹣跚步態(tài) ······················································ 162 案例41 右上頜腫物-腰背痛-低磷血癥 ············································· 167 與脊柱關(guān)節(jié)炎有類似表現(xiàn)的其他中軸或關(guān)節(jié)疼痛 案例42 多關(guān)節(jié)腫痛-腰背痛-高鈣血癥 ············································· 172 案例43 多發(fā)骨折-骨質(zhì)疏松-低血磷-低血鉀-皮下多發(fā)腫物 ·················· 177 案例44 腰部無力-晨僵-鴨步步態(tài) ··················································· 182 案例45 石化耳-旋頸受限-低血糖-高血鈣 ········································· 186 案例46 雙手指疼痛-關(guān)節(jié)旁異物 ····················································· 190 案例47 左髖疼痛-腰椎強(qiáng)直-多關(guān)節(jié)活動(dòng)受限 ···································· 194 案例48 皮疹-發(fā)熱-臀區(qū)痛 ···························································· 198 案例49 腰骶痛-臀區(qū)痛-骶髂關(guān)節(jié)硬化 ············································· 204 案例50 先天性聽力喪失-腰骶痛-“夾心椎”改變 ······························ 207 案例51 踝關(guān)節(jié)腫痛-腹股溝疼痛-腰痛 ··············································211 案例52 指間關(guān)節(jié)膨大-右膝疼痛-步態(tài)異常 ······································· 216 后記 221