| Purpose:To explore the joint clinical features of psoriasis. method:30 cases of psoriasis patients with joint disease were retrospectively analyzed.Results:1. The incidence of this group of patients aged 11-56 years, male: female ratio was 1:1..2. TCM syndrome: cold resistance network card in 15 cases, 8 cases of blood hot air dryness, endoretention of damp heat in 3 cases, Fujian College of cards in 3 cases, liver and kidney deficiency syndrome in 1 case.3. The family history of psoriasis in 7 cases (23.3%). With skin lesions as the first 26 cases, 86.6%; lesion and joint symptoms occur simultaneously in 2 cases, 6.7%; to arthritis as the first accounted for two cases, accounting for 6.7%. Lesions of 27 cases of type common type, accounting for 90%; erythrodermic type 2 patients, 6.7%; pustular type 1 cases, 3.3%.4. Arthritis classified as distal (toe) arthritis model in 12 cases, 40%; followed by symmetrical polyarthritis and 9 cases, 30%; non-symmetry of a small number of arthritis in 6 cases, 20% ; mutilation arthritis in 1 case, 3.3%; spinal joint disease in 2 cases, accounting for 6.7%. X-ray abnormal changes in the joint in 17 cases (56.7%), X-ray examination of the abnormal changes are mostly joint space narrowing, osteoporosis, bone resorption and joint soft tissue swelling, unusual joint spur formation and joint mutilation damages and other changes. 12 cases of distal (toe) in patients with arthritis type, there were 9 cases with a change such as a haze, deck thickness, and changes in the surface of thimble-like.5. Cold resistance network in 15 cases, skin lesions effective in 3 cases, 11 cases of clinical cure; joint symptoms, 1 patient were cured, 12 cases were clinically cured in 2 cases. 8 cases of hot dry blood, skin lesions markedly effective in 2 cases, 6 cases of clinical cure; joint symptoms markedly effective in 6 cases, clinical cure in 2 cases. Heat Yunjie 3 cases, skin lesions markedly effective in 2 cases, 1 case of clinical cure; joint symptoms were cured, 2 cases in 1. Fujian College of 3 cases, 3 cases of skin lesions were clinically cured; joint symptoms markedly effective in 2 cases, 1 failed. Liver and kidney deficiency, 1 case of clinical cure skin symptoms; joint clinical symptoms invalid. Conclusion:1. Joint psoriasis syndrome differentiation type to cold resistance network card are most welcome.2. Various types of psoriasis vulgaris lesions can be associated with arthritis, to distal (toe) between the joints, a lesion is distal (toe) Type of the main features of arthritis.3. PsA many require long-term drug treatment, Chinese medicine combined with western medicine treatments such as nonsteroidal anti-inflammatory drugs, methotrexate, low doses of glucocorticoid, compound glycyrrhizin injection, etc. can be combined to achieve better results. In the development of treatment programs, should give full consideration to the clinical classification of patients, severity, efficacy / price ratio, many factors such as adverse drug reactions. |
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