作者：朱剑 冀肖健 赵玉荣 著
出版社：科学技术文献出版社
出版日期：2024
ISBN：9787523519097
电子书格式：pdf/epub/txt
网盘下载地址：下载脊柱关节炎鉴别诊断图谱
内容简介
中轴型脊柱关节病是包括强直性脊柱炎、银屑病、关节炎及肠病性关节炎等一系列疾病，并且此类疾病的临床表现为炎性腰背痛，该病可由自身免疫因素引起。患者应配合相应的影像学检查，如脊柱X线、核磁共振、PET-CT等，判断具体情况，或结合相应的实验室检查，如HLA-B27等。在诊断与治疗的过程中通过以上检查我们会获得患者病情相关的图片，因而构成了本书的经典素材，本书是目前为止唯一阐述风湿病学中关于中轴型脊柱关节病的完整彩色图谱，对临床医生具有重要的指导参考意义。
作者简介
黄 烽主任医师，教授，博士研究生导师。 现任中国人民解放军总医院第一医学中心风湿免疫科名 誉主任，全军风湿病中心主任，全军医学免疫学会副主 任委员，中国中西医结合风湿病委员会副主任委员，《中 华风湿病学杂志》副总编。曾任国际强直性脊柱炎协会 常务理事、中华医学会风湿病学分会副主任委员、中国 医师协会风湿免疫分会副会长等。国家自然科学基金杰 出青年基金和中国科协求是杰出青年奖获得者，拥有 2 项国家发明专利，曾获中华医学科技奖一等奖、军队 医疗成果奖一等奖，享受国务院政府特殊津贴。 张江林主任医师，副教授，硕士研究生导师。 中国人民解放军总医院第一医学中心风湿免疫科主任医 师。现任北京医师协会风湿免疫专科医师分会副会长、 北京医学会风湿病学分会副主任委员、中华医学会风湿 病学分会委员。黄 烽
主任医师，教授，博士研究生导师。 现任中国人民解放军总医院第一医学中心风湿免疫科名 誉主任，全军风湿病中心主任，全军医学免疫学会副主 任委员，中国中西医结合风湿病委员会副主任委员，《中 华风湿病学杂志》副总编。曾任国际强直性脊柱炎协会 常务理事、中华医学会风湿病学分会副主任委员、中国 医师协会风湿免疫分会副会长等。国家自然科学基金杰 出青年基金和中国科协求是杰出青年奖获得者，拥有 2 项国家发明专利，曾获中华医学科技奖一等奖、军队 医疗成果奖一等奖，享受国务院政府特殊津贴。
张江林
主任医师，副教授，硕士研究生导师。 中国人民解放军总医院第一医学中心风湿免疫科主任医 师。现任北京医师协会风湿免疫专科医师分会副会长、 北京医学会风湿病学分会副主任委员、中华医学会风湿 病学分会委员。
朱 剑
主任医师，教授，博士研究生导师。 现任中国人民解放军总医院第一医学中心风湿免疫科 主任，北京医学会风湿病学分会委员，北京医学会内 科学分会常务委员，中国初级卫生保健基金会风湿免 疫学专业委员会脊柱关节炎工作委员会副主任委员， 中国医疗保健国际交流促进会风湿免疫病学分会常务 委员。曾获军队医疗成果奖一等奖。
冀肖健
主治医师，医学博士。 中国人民解放军总医院第一医学中心风湿免疫科主治医 师。从事风湿病临床工作，主持北京市自然科学基金1项， 参与多项国家及军队基金项目，以第一 / 共同第一作者 发表论文 20 篇，参编图书 2 部，参译图书 1 部。
赵玉荣
副主任医师。 中国人民解放军总医院第一医学中心风湿免疫科副主任 医师。从事临床及教学工作多年，以第一作者在核心 期刊发表论文 3 篇，统计源论文 1 篇，参与编写论文 10 余篇。
目录
案例1 髋痛-背痛-颈部活动受限 ························································ 2
案例2 老年男性-慢性腰痛-脊柱骨赘形成 ············································ 6
案例3 老年男性-慢性腰痛-虹膜炎 ····················································· 9
案例4 胸痛-发热-腰背痛-多关节肿痛 ··············································· 14
案例5 臀区痛-前胸壁疼痛-左膝肿痛 ················································· 18
案例6 臀区痛-CRP升高-PPD试验强阳性 ············································ 22
案例7 腰背痛-多关节肿痛-持续右肩肿胀 ··········································· 26
案例8 腰背痛-颈部疼痛-摔伤后加重 ················································ 29
案例9 臀区痛-腰痛-负重后加重 ······················································· 32
案例10 腰背痛-关节痛-颈部活动受限 ··············································· 35
案例11 炎性腰背痛-多发骨桥-咳嗽后机械性腰背痛 ····························· 39
案例12 腰背痛-周身疼痛-腰椎三柱病变 ············································ 44
案例13 臀区痛-左膝肿痛-低热 ························································ 48
案例14 交替性双髋疼痛-腰背痛-发热 ··············································· 51
案例15 青年男性-寡关节炎-抗环瓜氨酸肽抗体阳性-关节结构破坏 ·········· 55
案例16 腰背痛-多关节肿痛-发热 ····················································· 59
与脊柱关节炎有类似表现的其他风湿性疾病
案例17 间断腰痛-胸锁关节肿痛-掌跖脓疱病 ······································ 64
案例18 胸痛-手足脓疱-慢性髋关节痛 ··············································· 68
案例19 右髋痛-骨肥厚-痤疮-脓疱病 ················································· 72
案例20 腰痛-左腿疼痛-右锁骨区疼痛-双手皮疹 ·································· 77
案例21 发热-多关节肿痛-骨破坏-白细胞减少 ····································· 81
案例22 踝痛-臀区痛-腰背痛 ··························································· 87
案例23 发作性关节肿痛-腰痛-高尿酸血症 ········································· 90
案例24 多关节肿痛-颈部疼痛-巩膜蓝染 ············································ 93
案例25 肘关节活动受限-膝痛-髋痛 ·················································· 98
案例26 颈后区疼痛-外周关节疼痛 ·················································· 102需与脊柱关节炎相鉴别的感染性疾病
案例27 臀区疼痛-腰背痛-发热 ······················································ 108
案例28 反复发热-关节肿痛-非甾体抗炎药效果欠佳 ···························112
案例29 臀区痛-发热-呼吸困难-骶髂关节炎 ·······································116
案例30 发热-颈痛-胸痛-背痛 ························································ 120
案例31 腰背痛-发热-骶髂关节炎 ··················································· 123
案例32 肌痛-指端溃疡-右膝关节肿痛 ············································· 126
案例33 双手遇冷变白-多关节疼痛-下肢无力 ···································· 130
需与脊柱关节炎相鉴别的肿瘤性疾病
案例34 发热-臀区痛-全血细胞减少-淋巴结肿大 ································ 136
案例35 腰背痛-关节痛-嗜酸性粒细胞增高-骶髂关节炎 ······················· 139
案例36 血细胞减少-腰背痛-发热 ··················································· 143
案例37 右髋疼痛-低热-腰背疼痛 ··················································· 148
案例38 多关节屈曲-多关节肿胀-驼背-张口受限 ································ 152
案例39 臀区痛-骶髂关节骨质破坏-软组织肿块 ································· 157
案例40 腰痛-肌无力-蹒跚步态 ······················································ 162
案例41 右上颌肿物-腰背痛-低磷血症 ············································· 167
与脊柱关节炎有类似表现的其他中轴或关节疼痛
案例42 多关节肿痛-腰背痛-高钙血症 ············································· 172
案例43 多发骨折-骨质疏松-低血磷-低血钾-皮下多发肿物 ·················· 177
案例44 腰部无力-晨僵-鸭步步态 ··················································· 182
案例45 石化耳-旋颈受限-低血糖-高血钙 ········································· 186
案例46 双手指疼痛-关节旁异物 ····················································· 190
案例47 左髋疼痛-腰椎强直-多关节活动受限 ···································· 194
案例48 皮疹-发热-臀区痛 ···························································· 198
案例49 腰骶痛-臀区痛-骶髂关节硬化 ············································· 204
案例50 先天性听力丧失-腰骶痛-“夹心椎”改变 ······························ 207
案例51 踝关节肿痛-腹股沟疼痛-腰痛 ··············································211
案例52 指间关节膨大-右膝疼痛-步态异常 ······································· 216
后记 221
