Illusive clinical pictures of musculoskeletal pain syndromes
Journal Title: Reumatologia - Year 2006, Vol 44, Issue 6
Abstract
Common diagnostic mistakes of musculoskeletal pain syndromes are presented. Difficulties in the diagnosis were analyzed. Acroparesthesias are usually produced by carpal tunnel syndrome despite the coexistence of cervical osteophytes or lesions of the intervertebral disc. Common complains of fingers swelling in the cases of carpal tunnel syndrome can suggest the diagnosis of inflammatory arthritis or osteoarthritis. The clinical features of trochanteric syndrome can resemble the symptoms of osteoarthritis of the hip or radicular pain. Hip pain is usually caused by lesions of the lower part of lumbar spine, not of the hip. A common clinical symptom of osteoarthritis of the hip is pain of the knee. Common misdiagnosis of fibromyalgia syndrome is connected with local character of the musculoskeletal pain in the majority of cases. Main causes of shoulder pain are lesions of tendon cuff even if radiological examination reveals cervical spine lesions. In rheumatologic patients the most common cause of crural pain swelling and redness resembling deep venous thrombosis is rupture of Baker’s cyst.
Authors and Affiliations
Leszek Szczepański, Anna Szczepańska-Szerej
Keywords
Related Articles
- EP ID EP149605
- DOI -
- Views 91
- Downloads 0
Cross-reacting anti-cardiolipin antibodies as a marker of presence of endotoxin in the sera and synovial fluids of patients with arthritis
Analysing the large groups of sera and synovial fluids from patients with arthritis we observed, that frequency of the aCl presence in above mentioned materials was relatively high (about 30-50%) – very similar to aCl fr...
Report concernig works fo the European Consensus Study on Autoantibodies in years 2004/2005
Zespół płucno-nerkowy w układowych chorobach tkanki łącznej
Zespół płucno-nerkowy (ZPN) jest zespołem chorobowym, który może wystąpić w wielu układowych chorobach tkanki łącznej. Należy do stanów zagrażających życiu. Na obraz kliniczny zespołu składa się rozlane, krwotoczne zapal...
Skuteczność i bezpieczeństwo inhibitorów TNF - wyniki kontrolowanych randominizowanych badań klinicznych
Inhibitory TNF zostały wprowadzone w 1998 r. do leczenia aktywnej postaci reumatoidalnego zapalenia stawów (RZS). Od tego czasu przeprowadzono wiele wieloośrodkowych, randomizowanych badań klinicznych zarówno we wczesnym...
B cell depletion with monoclonal antibody as treatment for rheumatoid arthritis
In recent years our knowledge of the role of B lymphocytes in the pathogenesis of rheumatoid arthritis (RA) has expanded and it is now thought that B cells have a more extensive role than was previously appreciated. They...