(干燥综合征)
9、 Overlapping syndrome，OS
(重叠综合征)
10、 others :Polymyalgia rheumatica
( 风湿性多肌痛)
二、Arthritis associated with spodylitis (并发脊柱炎的关节炎)
Seronegative spondyloarthropathies (血清阴性脊柱关节病)
diseases(器官非特异性自身免疫病). It’s also
called collagenic disease(胶原病).
.
5
Common characters of diffuse CTD:
（1）pathogenesis :autoimmunity; （2）pathologic change :chronic inflammation of
风湿性疾病的命名和分类
（Arth Rheum 26:1029~1032,1993）
一、 Diffuse connective tissue diseases (弥漫性结缔组织病)
1、Rheumatoid arthritis，RA
(类风湿关节炎)
2、Juvenile rheumatoid arthritis，JRA (幼年类风湿关节炎) 3、 Systemic lupus erythematosus，SLE (系统性红斑狼疮)
1、Ankylosing spondylitis，AS
(强直性脊柱炎)
2、 Reiter syndrome，RS
(赖特综合征)
3、 Psoriatic arthritis，PA
(银屑病关节炎)
4、 Enteropathic arthritis，EA
.
(炎性肠病关节炎)
8
三、 Osteoarthritis，OA
4、 Systemic sclerosis，SSc
(系统性硬化病)
5、 Diffuse fasciitis，EF .
(弥漫性筋膜炎) 7
6、 Polymyositis/Dermatomyositis，PM/DM (多肌炎/皮肌炎)
7、 Vasculitis
(血管炎)
8、 Sjogren syndrome，SS
（6）Improved prognosis.
.
6
The nomenclature and classification of
arthritis and rheumatic diseases from American society of Rheumatology in 1993
美国风湿病学学会对关节炎和
vessels and connective tissue; （3）multisystem involvement. Heterogeneous
(4) course:onset—remission—recurrence— remission. Lifelong diseases.
（5）gluco-corticosteroid hormone and immunosuppressants;
2. To be familiar with (熟悉)the classification of rheumatic diseases and the common characteristics
of connective tissue diseases. 3. To grasp(掌握) the features of joint manifestation
Definition:
1、Rheumatism (风湿)：It’s defined as the chronic pain of joint, peri-articular tissues,muscle and bone.
（风湿：是指关节、关节周围软组织、肌肉、 骨出现的慢性疼痛。）
.
3
2、Rheumatic diseases(风湿性疾病)：
It’s a disease entity involving joints and peri-articular tissues with different causes.(风湿性疾病：是指一大类病因各不相同，但均累及
关节及其周围组织的疾病。)
It encompasses diffuse connective tissue diseases, and other disorders involving joints and peri-articular tissues (including muscle,tendon, ligament, etc).(它包括：弥漫性结
缔组织病及各种病因引起的关节和关节周围软组织，包括肌、
肌腱、韧带等的疾病。
.
4
概念：
3、 diffuse connective tissue
disease(弥漫性结缔组织病)，
Байду номын сангаас
简称结缔组织病(CTD).
diseases.
It’s the main kind of rheumatic
It belongs to organ nonspecific autoimmune
(General Introduction)
2004 Spring Teacher：毕黎琦
Rheumatology
.
1
Section 1 General Introduction(总论)
of Rheumatic Diseases Requirements(要求)：
x 1. To know (了解)the definition of rheumatic diseases and its common pathology.
of rheumatic diseases and clinical importance (意 义)of auto-antibodies detection. 4. To be familiar with(熟悉) the classification and
mechanism of 3 kinds o. f anti-rheumatic drugs2.
(骨性关节炎)
四、Infection
(感染所致风湿性综合征)
1、 Reactive arthritis
(反应性关节炎)