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*For medical professionals to read and reference Xueba Challenge, waiting for you! The patient is a 53-year-old female
.
Joint pain for more than half a year, diagnosed as "rheumatoid arthritis", this disease generally does not appear A.
Morning stiffness for more than 1 hour B.
Symmetrical joint swelling in both hands C.
X-ray shows narrowing of sacroiliac joint space D.
ESR significantly increased Fast E.
X-ray films showed proximal interphalangeal joint space stenosis.
Answer: A Analysis: Ankylosing spondylitis is more common in young men.
The peripheral joints are mainly asymmetric large joints of the lower extremities, rarely involving the finger joints, sacral joints The iliac joints and spine often have typical imaging changes
.
There may be a family history, RF is negative, and more than 90% of patients are HLA-B27 positive
.
Link to the previous article: A 30-year-old female patient with elevated white blood cells in the joint effusion and positive HLA-B27.
What is the diagnosis to consider?
.
Joint pain for more than half a year, diagnosed as "rheumatoid arthritis", this disease generally does not appear A.
Morning stiffness for more than 1 hour B.
Symmetrical joint swelling in both hands C.
X-ray shows narrowing of sacroiliac joint space D.
ESR significantly increased Fast E.
X-ray films showed proximal interphalangeal joint space stenosis.
Answer: A Analysis: Ankylosing spondylitis is more common in young men.
The peripheral joints are mainly asymmetric large joints of the lower extremities, rarely involving the finger joints, sacral joints The iliac joints and spine often have typical imaging changes
.
There may be a family history, RF is negative, and more than 90% of patients are HLA-B27 positive
.
Link to the previous article: A 30-year-old female patient with elevated white blood cells in the joint effusion and positive HLA-B27.
What is the diagnosis to consider?