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结核性风湿症,又称结核性变态反应性关节炎,或称Poncet氏综合征,或风湿性结核病。本病是由结核杆菌毒素引起的机体过敏反应。重要临床表现是关节症状,容易被误诊为风湿性关节炎,据孙国纲等报告30例结核性风湿症中,误诊为风湿性关节炎16例,类风湿性关节炎4例,结节性红斑2例,误诊率73.3%。本文2例也曾被误诊为风湿性关节炎。为提高对本病的认识,现报告如下。例1 许××,男、59岁、农民,住院号13,501。
Tuberculous rheumatism, also known as tuberculous allergic arthritis, or Poncet’s syndrome, or rheumatic tuberculosis. The disease is caused by Mycobacterium tuberculosis toxin allergic reaction. Important clinical manifestations are joint symptoms, easily misdiagnosed as rheumatoid arthritis, according to Sun Guogang and other reports of 30 cases of tuberculous rheumatism, misdiagnosed as rheumatoid arthritis in 16 cases, 4 cases of rheumatoid arthritis, erythema nodosum 2 For example, the rate of misdiagnosis was 73.3%. Two cases of this article have also been misdiagnosed as rheumatoid arthritis. To raise awareness of the disease, the report is as follows. Example 1 Xu × ×, male, 59 years old, farmer, hospital number 13,501.