Erosive osteoarthritis

被引：103

作者：

Punzi, L ^{[1
]}

Ramonda, R ^{[1
]}

Sfriso, P ^{[1
]}

机构：

[1] Univ Padua, Policlin, Div Rheumatol, Dept Med & Surg Sci, I-35128 Padua, Italy

来源：

BEST PRACTICE & RESEARCH IN CLINICAL RHEUMATOLOGY | 2004年 / 18卷 / 05期

关键词：

erosive osteoarthritis; diagnosis; imaging; laboratory investigations; immunogenetic; therapy;

D O I：

10.1016/j.berh.2004.05.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Erosive osteoarthritis (EOA) is believed to be a clinically uncommon subset of generalized osteoarthritis (OA) characterized by a clinical course, which is frequently aggressive. The diagnosis of EOA is accepted only for patients meeting American College of Rheumatology clinical criteria for OA of the hand and showing radiographic aspects of articular surface erosions. Conditions to be considered in the differential diagnosis include primarily nodal generalized CA, psoriatic arthritis and rheumatoid arthritis. It is possible to find erosive changes resembling EOA in endocrine diseases, microcrystal-induced diseases, chronic renal diseases, autoimmune, diseases and others. Despite the absence of a clear etiology, immunogenetic studies are useful in identifying a possible predisposition to developing EOA in some subjects. No definitive therapeutic approach to EOA has been reported. It is reasonable to assume that in the presence of a symptomatic EOA our therapeutic approach should differ from that used for common, nodal, non-ECA.

引用

页码：739 / 758

页数：20

共 62 条

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