ARTHRITIS ASSOCIATED WITH ULCERATIVE COLITIS - A CLINICAL AND PATHOLOGICAL STUDY
ARTHRITIS ASSOCIATED WITH ULCERATIVE COLITIS - A CLINICAL AND PATHOLOGICAL STUDY
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DOI：
10.1136/ard.17.2.169
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发表时间：
1958-01-01
影响因子：
27.4
通讯作者：
ANSELL, BM
中科院分区：
文献类型：
--
作者：
BYWATERS, EGL;ANSELL, BM
虽然Hench（1935）给出了一个很好的简短描述，但与溃疡性结肠炎相关的关节炎尚未完全描述。最近关于关节炎的教科书没有提到它（Copeman，1955; Comroe，1953）或只给它几行（弗莱彻，1951）。在美国风湿病协会在《内科学年鉴》上发表的综合性美语和英语评论中，自1940年以来就没有提到过它（Hench等，1940，1941，1948;罗宾逊等，1953，1956），在美国风湿病协会批准的”标准疾病命名法”中也没有将其归类。这可能是因为它被认为仅仅是发生在溃疡性结肠炎中的类风湿性关节炎，而不是一个特殊的实体（Hench等，1936）。随着一种几乎特异性的诊断试验的出现和对这组疾病的更多了解，根据过去11年来在加拿大红十字会纪念医院和研究生院青少年风湿病特别小组亲自看到的14例病例，以及在中央米德尔塞克斯医院与凯洛克博士一起看到的8例病例，再次审查这个问题似乎是合适的。以及西米德尔塞克斯医院科格希尔医生所见的8例病例。数据从其他7例在这些医院也包括在内，虽然这些情况下没有亲自看到，共37 patients.Material和方法溃疡性结肠炎的诊断特征的病理，放射学，或乙状结肠镜外观的基础上，加上兼容的临床病史，包括腹泻。致敏绵羊细胞”DAT”的Rose-Waaler差异凝集试验由Frances Scott博士在Taplow（Scott，1952）以原始形式进行。
The arthritis associated with ulcerative colitis has not been fully delineated, although Hench (1935) gave an excellent short characterization. Recent textbooks on arthritis omit mention of it (Copeman, 1955; Comroe, 1953) or give it a few lines only (Fletcher, 1951). In the comprehensive American and English language reviews published in the Annals of Internal Medicine by the American Rheumatism Association, no mention of it has been made since 1940 (Hench and others, 1940, 1941, 1948; Robinson and others, 1953, 1956), nor is it classified as such in the" Standard Nomenclature of Disease" approved by the American Rheumatism Association. This is possibly because it is thought to be merely rheumatoid arthritis occurring in ulcerative colitis, rather than a special entity (Hench and others, 1936). With the emergence of a nearly specific diagnostic test and more knowledge about this group of diseases, it seems opportune to review this problem again in the light of fourteen cases seen personally at the Special Unit forJuvenile Rheumatism, Canadian Red Cross Memorial Hospital and at the Postgraduate School, over the last 11 years, together with eight cases seen with Dr. Kellock at the Central Middlesex Hospital, and eight cases seen with Dr. Coghill at the West Middlesex Hospital. Data from seven other cases at these hospitals is also included, although these cases were not seen personally, making a total of 37 patients.Material and Methods Ulcerative colitis was diagnosed on the basis of a characteristic pathological, radiological, or sigmoidoscopic appearance, plus a compatible clinical history, including diarrhoea. The Rose-Waaler differential agglutination of sensitized sheep cells" DAT" has been carried out in its original form by Dr. Frances Scott at Taplow (Scott, 1952).