脊柱关节炎鉴别诊断图谱

脊柱关节炎鉴别诊断图谱
作 者: 朱剑 冀肖健 赵玉荣
出版社: 科学技术文献出版社
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版权说明: 本书为公共版权或经版权方授权,请支持正版图书
标 签: 暂缺
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作者简介

  黄  烽主任医师,教授,博士研究生导师。 现任中国人民解放军总医院第一医学中心风湿免疫科名 誉主任,全军风湿病中心主任,全军医学免疫学会副主 任委员,中国中西医结合风湿病委员会副主任委员,《中 华风湿病学杂志》副总编。曾任国际强直性脊柱炎协会 常务理事、中华医学会风湿病学分会副主任委员、中国 医师协会风湿免疫分会副会长等。国家自然科学基金杰 出青年基金和中国科协求是杰出青年奖获得者,拥有 2 项国家发明专利,曾获中华医学科技奖一等奖、军队 医疗成果奖一等奖,享受国务院政府特殊津贴。 张江林主任医师,副教授,硕士研究生导师。 中国人民解放军总医院第一医学中心风湿免疫科主任医 师。现任北京医师协会风湿免疫专科医师分会副会长、 北京医学会风湿病学分会副主任委员、中华医学会风湿 病学分会委员。 朱  剑主任医师,教授,博士研究生导师。 现任中国人民解放军总医院第一医学中心风湿免疫科 主任,北京医学会风湿病学分会委员,北京医学会内 科学分会常务委员,中国初级卫生保健基金会风湿免 疫学专业委员会脊柱关节炎工作委员会副主任委员, 中国医疗保健国际交流促进会风湿免疫病学分会常务 委员。曾获军队医疗成果奖一等奖。 冀肖健主治医师,医学博士。 中国人民解放军总医院第一医学中心风湿免疫科主治医 师。从事风湿病临床工作,主持北京市自然科学基金1项, 参与多项国家及军队基金项目,以第一 / 共同第一作者 发表论文 20 篇,参编图书 2 部,参译图书 1 部。 赵玉荣副主任医师。 中国人民解放军总医院第一医学中心风湿免疫科副主任 医师。从事临床及教学工作多年,以第一作者在核心 期刊发表论文 3 篇,统计源论文 1 篇,参与编写论文 10 余篇。

内容简介

在风湿病学与骨科疾病的临床诊疗中,脊柱关节炎及其相关疾病非常复杂,其 多样性令人感到极具挑战。这些疾病的临床表现复杂多变,极易与其他疾病混淆, 常常导致误诊和延误治疗。因此,初学者急需一本能够深入系统地探讨这些疾病临 床诊治的参考书籍。本书正是以丰富的案例和严谨的学术态度向我们展示了如何在 复杂的临床情景中识别和管理脊柱关节炎及其相关疾病。 本书的编排结构从实际案例出发,涵盖了典型的强直性脊柱炎和少见的晚发型 脊柱关节炎、SAPHO综合征、感染性疾病及罕见的肿瘤性骶髂关节病变等多种临 床表现相似的案例。这些案例不仅全面展示了脊柱关节炎及相关疾病的临床面貌, 还深入剖析了诊断过程中可能面临的困境和“陷阱”。通过这些案例的细致分析, 读者不仅可以了解疾病的影像学特点、致病机制,还能够掌握在不同情况下如何灵 活应对疾病诊断,从而提高自身诊断水平的方法。 令人印象深刻的是,本书特别强调了在临床诊断中的思辨过程和多维度的鉴 别诊断。书中收录的许多案例并非教科书中所描述的“典型病例”,相反,它们呈 现出了复杂的临床表现,如误诊为脊柱结核的强直性脊柱炎、疑似类风湿关节炎的 外周型脊柱关节炎等。这些案例生动地提醒我们,临床诊断不仅仅依赖于影像学或 实验室检查结果,更需要结合丰富的临床经验和灵活的思辨能力。在面对复杂病例 时,医生的思维深度和广度决定了诊断的准确性。 此外,本书对于罕见案例和疑难病症的探讨也极具价值,如少见的米粒体滑囊 炎、肿瘤相关性低磷骨软化症,以及甲状旁腺功能亢进症相关低磷骨软化症等罕见 疾病,这些内容展示了笔者对临床疑难案例的深入理解和解决能力,也为广大临床 医务工作者提供了极为宝贵的参考资料。 总体来说,本书的出版无疑是风湿病学与骨科领域的一项重要贡献。它不仅填 补了脊柱关节炎及相关疾病诊治中某些知识领域的空白,也为我们提供了宝贵的临 床经验。这本书的内容丰富、分析透彻,既适合一线临床医生作为日常诊治的参考 指南,也为从事相关研究的学者提供了深入思考和探索的机会。 作为本书的主审,我深感荣幸,并诚挚地向风湿病学、骨科及相关学科的医务 工作者推荐本书。相信它不仅会拓宽我们的临床视野,更能为患者带来福祉。

图书目录

脊柱关节炎

案例1

髋痛-背痛-颈部活动受限

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案例2

老年男性-慢性腰痛-脊柱骨赘形成

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案例3

老年男性-慢性腰痛-虹膜炎

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案例4

胸痛-发热-腰背痛-多关节肿痛

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案例5

臀区痛-前胸壁疼痛-左膝肿痛

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案例6

臀区痛-CRP升高-PPD试验强阳性

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案例7

腰背痛-多关节肿痛-持续右肩肿胀

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案例8

腰背痛-颈部疼痛-摔伤后加重

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案例9

臀区痛-腰痛-负重后加重

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案例10

腰背痛-关节痛-颈部活动受限

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案例11

炎性腰背痛-多发骨桥-咳嗽后机械性腰背痛

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案例12

腰背痛-周身疼痛-腰椎三柱病变

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案例13

臀区痛-左膝肿痛-低热

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案例14

交替性双髋疼痛-腰背痛-发热

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案例15

青年男性-寡关节炎-抗环瓜氨酸肽抗体阳性-关节结构破坏

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案例16

腰背痛-多关节肿痛-发热

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与脊柱关节炎有类似表现的其他风湿性疾病

案例17

间断腰痛-胸锁关节肿痛-掌跖脓疱病

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案例18

胸痛-手足脓疱-慢性髋关节痛

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案例19

右髋痛-骨肥厚-痤疮-脓疱病

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案例20

腰痛-左腿疼痛-右锁骨区疼痛-双手皮疹

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案例21

发热-多关节肿痛-骨破坏-白细胞减少

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案例22

踝痛-臀区痛-腰背痛

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案例23

发作性关节肿痛-腰痛-高尿酸血症

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案例24

多关节肿痛-颈部疼痛-巩膜蓝染

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案例25

肘关节活动受限-膝痛-髋痛

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案例26

颈后区疼痛-外周关节疼痛

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需与脊柱关节炎相鉴别的感染性疾病

案例27

臀区疼痛-腰背痛-发热

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案例28

反复发热-关节肿痛-非甾体抗炎药效果欠佳

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案例29

臀区痛-发热-呼吸困难-骶髂关节炎

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案例30

发热-颈痛-胸痛-背痛

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案例31

腰背痛-发热-骶髂关节炎

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案例32

肌痛-指端溃疡-右膝关节肿痛

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案例33

双手遇冷变白-多关节疼痛-下肢无力

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需与脊柱关节炎相鉴别的肿瘤性疾病

案例34

发热-臀区痛-全血细胞减少-淋巴结肿大

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案例35

腰背痛-关节痛-嗜酸性粒细胞增高-骶髂关节炎

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案例36

血细胞减少-腰背痛-发热

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案例37

右髋疼痛-低热-腰背疼痛

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案例38

多关节屈曲-多关节肿胀-驼背-张口受限

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案例39

臀区痛-骶髂关节骨质破坏-软组织肿块

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案例40

腰痛-肌无力-蹒跚步态

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案例41

右上颌肿物-腰背痛-低磷血症

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与脊柱关节炎有类似表现的其他中轴或关节疼痛

案例42

多关节肿痛-腰背痛-高钙血症

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案例43

多发骨折-骨质疏松-低血磷-低血钾-皮下多发肿物

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案例44

腰部无力-晨僵-鸭步步态

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案例45

石化耳-旋颈受限-低血糖-高血钙

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案例46

双手指疼痛-关节旁异物

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案例47

左髋疼痛-腰椎强直-多关节活动受限

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案例48

皮疹-发热-臀区痛

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案例49

腰骶痛-臀区痛-骶髂关节硬化

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案例50

先天性听力丧失-腰骶痛-“夹心椎”改变

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案例51

踝关节肿痛-腹股沟疼痛-腰痛

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案例52

指间关节膨大-右膝疼痛-步态异常

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