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结核性风湿症与结核干菌引起的原发性结核性关节炎不同,一般为滑膜炎与关节渗液,不累及干骺骨骼而遗留残疾。在急性期常误诊为急性风湿性关节炎,而以结节性红斑为突出临床表现的又常误诊为风湿性结节性红斑,抗风湿治疗效果不好,常反复发作。本病国内1958年金氏等报告二例;1961年严氏报告一例;1962年方氏报告十一例;总共为14例。除方氏病例中有二例,在入院后立即开始了抗痨治疗,其它病例第一次诊治或住院时均被误诊为风湿性关节炎。本文报告之病例系,女性,57岁。因双下肢关节酸痛,反复出现结节性红斑四个月,加重二个月于1980年7月15日来我院就诊。据
Tuberculous rheumatism and tuberculosis caused by tuberculous primary tuberculous arthritis is different, the general synovitis and joint exudate, does not affect the metaphyseal bone left over from disability. Often misdiagnosed as acute rheumatoid arthritis in the acute phase, and nodular erythema as the outstanding clinical manifestations often misdiagnosed as rheumatoid nodular erythema, antirheumatic treatment is not effective, often repeated attacks. The disease in 1958 Jin et al reported two cases; 1961 reported a case of strict; 1962 Fang reported eleven cases; a total of 14 cases. In addition to two cases of Fang’s case, anti-tuberculosis treatment started immediately after admission, other cases were the first diagnosis or hospitalization were misdiagnosed as rheumatoid arthritis. The reported cases of this article, female, 57 years old. Due to joint pain in both lower extremities, repeated nodular erythema for four months, increased two months in July 15, 1980 to our hospital. according to