摘要
报道1例女性系统性红斑狼疮(SLE)患者长期服用皮质类固醇12年,出现关节畸形并双侧髌韧带断裂。临床表现:双手多个指,掌指、腕关节呈Jaccoud's畸形、韧带松驰、过伸、捏起功能障碍。活动轻度受限,感觉正常。X线显示:双手多个指、掌指关节松驰、排列紊乱、或完全脱位;双侧尺腕关节呈对称性半脱位。双侧膝关节髌骨上移,可见髌韧带断裂阴影;左肘关节下方尺背侧软组织内见钙化影。所有关节未见侵蚀性骨损害及骨硬化。
A case of female SLE patient ,has been treated with corticosteroid for 12y ears,with joint deformity and sudden patellar tendon rupture is reported.Clinic manifestations comprise multiple an d reducible metacarpophalangeal an d intercarpal joint Jaccoud' s deformities,ligamentous laxity,h yperextension,loss of pinching abi lity.Activity of these joints are limited lightly and feelings are normal.Radiographs illustrate the multiple metacarpophalangeal and i ntercarpal joints laxity ,Jaccoud`s arthropathy,deviation and characteristic flexion deformitie s with the absence of any erosions and sclerosis in the cartilage or bone,a nd bilateral patellar moving upward and patellar tendon rupturin g .The soft tissue calcification sit es were found below the left elbow joint.
出处
《临床皮肤科杂志》
CAS
CSCD
北大核心
2002年第1期39-40,共2页
Journal of Clinical Dermatology
