관절염의 임상상과 감별진단
Clinical Manifestations and Differential Diagnosis of Arthritides
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초록
다양한 관절염이 있지만 관절염은 관절염이 발생한 시기, 관절염의 침범 개수, 관절염의 침범 패턴, 관절염증의 중증도, 관절염의 진행 패턴 등을 고려하고 각 관절염의 특징적인 양상을 파악하면 쉽게 감별 진단할 수 있다.
Abstract
Arthralgia is one of the most common complaints of the patients. Among the different diseases causing arthralgia, the first step is to differentiate arthralgia from non-articular pain. Then, specific arthritic disease can be identified by their specific characteristics. Arthritis can be divided by several characteristics, which include acuteness (acute vs chronic), number of joints involved (monoarticular, oligoarticular, polyarticular), severity of inflammation in the joints (inflammatory, non-inflammatory), pattern of joint involvement (axial, peripheral) and temporal pattern of arthritis (persistent, intermittent, migrating, additive). Demographic features and characteristics of arthritis are key to the correct diagnosis of arthritis. (Korean J Med 2012;83:157-161)
참고문헌 (3)
- Cush JJ, "Approach to articular and musculoskeletal disorders, In Harrison’s Principles of Internal Medicine. 18th ed", pp.2318~2328 (2012), McGraw-Hill
- Cush JJ, "Evaluation of musculoskeletal complaints, In Rheumatology: Diagnosis and Therapeutics. 2nd ed", pp.3~20 (2005), Lippincott, Williams & Wilkins
- American College of Rheumatology Ad Hoc Committee on Clinical Guidelines, "Guidelines for the initial evaluation of the adult patient with acute musculoskeletal symptoms", Arthritis Rheum, 39, pp.1~8 (1996)