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yxfbbiedtj · Wysłany: Pią 16:09, 04 Mar 2011

With joint symptoms as the main manifestation of autoimmune hepatitis

, Jiang Ming. Autoimmune hepatitis [J]. Chinese Journal of Internal Medicine,[link widoczny dla zalogowanych], 2003,23 (1) :55-57. [5] AlvarezF, BergPA, BianchiFB, eta1. InternationalAuto. immuneHepatitisGroupReport: reviewofcriteriafordiag-nosisofautoimmunehepatitis [J]. JHepatol, 1999,31 (5) :929-938. (Received date :2009-04-30 Revised :2009-05-10) Wang Fangfang, Ke state, Yanpeng Tao (Xi'an Yanliang Rheumatology 630 Hospital, Xi'an 710089) [Key words psoriasis; arthritis, psoriasis; misdiagnosis; onychomycosis; paronychia; spondylitis, ankylosing; arthritis, rheumatoid [Key Words】 R684.3 [Document code】【B Article ID] 1002-3429 (2009) 09-0057-021 I clinical data of patients 1】 male, 21 years old. Distal part of fingers due to joint pain, swelling and depression-like damage to the nails 1 year AGED. 1 year in patients with no significant incentive to the right hand index finger distal joint pain, swelling,[link widoczny dla zalogowanych], depression, injustice and nail color gray, gradually developed to the right hand ring finger, little finger and left hand little finger distal joint, in many hospitals, according to paronychia Psoriasis parent family income. Physical examination: body temperature 36.5 ℃, respiration 20/min, pulse 80/min, blood pressure 100/60mmHg. Stained yellow skin and mucosa, petechia ecchymosis and rash. Heart, lungs and abdomen revealed no abnormalities. Right index finger, ring finger, little finger and left hand little finger distal joint swelling, hard, red, thimble-like nails were uneven. Erythrocyte sedimentation rate 16mm / h, rheumatoid factor (a). Anteroposterior x ray films showed their hands: distal phalanx destruction, joint osteolysis within the phenomenon. Diagnosis of psoriatic arthritis, given methotrexate, triptolide treatment for 3 months after the joint symptoms improved,[link widoczny dla zalogowanych], improvement in nail color, a flat surface. 【Example 2】 Male, 45 years old. Difficulties due to the waist, back stiff 3 years, some joint swelling for 2 years admitted to hospital. 3 years ago, patients feel trapped waist, back stiff, the local hospital by symptoms eased. Hands and nails depression 1 year after thinning, a lower empty, a week and distal finger joints, toe distal joint swelling, the outer court press 3 months before admission the head-like lesions appear scaly. The family grandmother suffering from psoriasis. Physical examination: body temperature 36.7 ℃, respiration 22/min, pulse 88/min, blood pressure 110/70mmHg. Stained yellow skin and mucosa, petechia ecchymosis, flaky scaly head covered with a dial membrane response. Heart, lungs and abdomen revealed no abnormalities. Hand refers to the distal joints, double toe distal joint swelling, hard, red, dark nail colors layered and depression. Erythrocyte sedimentation rate 47mm / h, rheumatoid factor (a). Anteroposterior pelvic x ray films showed: right sacroiliac joint visible worm-eaten-like damage. Diagnosis of psoriatic arthritis patients treated with 1,3 months after the joint symptoms improved, improvement in nail color, a flat surface. 【3】 female patients, aged 56. Because of repeated and more joint swelling, pain in 6 years admitted to hospital. 6 years ago, his hands were suddenly left knee joint and proximal refers to pain, swelling, with fever, erythrocyte sedimentation rate of other hospitals faster search, rheumatoid factor (+),[link widoczny dla zalogowanych], diagnosed as rheumatoid arthritis, given breeze rattan, Nimesulide treatment for 3 months, symptom relief, but then often relapse. 3 years ago, uneven and broken nail, right thumb distal getting red, swollen, painful symptoms, 1 year-like chest and back appear scaly skin lesions. Family, no similar cases. Physical examination: body temperature of 37.2 ~ C, respiration 23/min, pulse 92/min,[link widoczny dla zalogowanych], blood pressure 110/70mmHg. Stained yellow skin and mucosa, ecchymosis petechiae, some harness scaly rash cloth the size of coins, a dial membrane response. Left knee, hands that proximal, distal right thumb are redness, swelling, and pain. Erythrocyte sedimentation rate 87mm / h, rheumatoid factor (a). Anteroposterior x ray films showed their hands: the proximal joint deformity was wearing a hat like a pencil. Diagnosis of psoriatic arthritis patients treated with 1,3 months after the skin lesions and joint symptoms improved. Discuss the clinical features of 2 2.1 and psoriasis psoriatic arthritis is an inflammatory joint disease associated with 10% of patients due to arthritis, skin lesions lead to early diagnosis of 57 *