‫‪Diagnostic Approach to Polyarticular Joint Pain‬‬

‫اﻟﺠﺪول ‪2‬‬
‫اﻷﺳﺒﺎب اﻟﺸﺎﺋﻌﺔ ﻵﻻم اﻟﻤﻔﺎﺻﻞ اﻟﺤﺒﻴﺒﻴﺔ‬

‫ﺗﻮزﻳﻊ‬

‫ﻧﺴﺒﺔ‬
‫اﻟﺘﺴﻠﺴﻞ‬ ‫ﺗﻮرط‬ ‫ﻣﻈﺎﻫﺮ ﺧﺎرج‬ ‫اﻹﻧﺎث‬
‫ﻣﺮض‬ ‫اﻟﺘﻬﺎب‬ ‫ﻧﻤﻂ‬ ‫ﺗﻨﺎﻇﺮ‬
‫اﻟﺰﻣﻨﻲ‬ ‫ﻣﺤﻮري‬ ‫اﻟﻤﻔﺼﻞ‬ ‫إﻟﻰ‬
‫اﻟﺬﻛﻮر‬

‫ﻋﺪوى‬ ‫ﺣﺎد‬ ‫ﻧﻌﻢ‬ ‫اﻟﻤﻔﺎﺻﻞ اﻟﺼﻐﻴﺮة‬ ‫ﻧﻌﻢ‬ ‫ﻻ‬ ‫ﻻﺳﻲ ﻃﻔﺢ ‪ ،‬ﻃﻔﺢ‬ ‫‪3: 1‬‬
‫ﻓﻴﺮوﺳﺎت‬ ‫ﻓﻌﻼ‬ ‫ﻓﻌﻼ‬ ‫اﻟﻤﻼر‬ ‫إﻟﻰ‬
‫اﻟﺒﺮﺑﺮي‬ ‫‪1 :4‬‬
‫اﻟﺒﺸﺮي‬
‫‪B19‬‬

‫اﻟﺘﻬﺎب‬ ‫ﻣﺰﻣﻦ‬ ‫ﻧﻌﻢ‬ ‫اﻟﻤﻔﺎﺻﻞ اﻟﺼﻐﻴﺮة‬ ‫ﻧﻌﻢ‬ ‫ﻋﻨﻘﻰ‬ ‫اﻟﻌﻘﻴﺪات ﺗﺤﺖ‬ ‫‪3: 1‬‬
‫اﻟﻤﻔﺎﺻﻞ‬ ‫ﻓﻌﻼ‬ ‫واﻟﻜﺒﻴﺮة‬ ‫ﻓﻌﻼ‬ ‫اﻟﺠﻠﺪ ‪ ،‬ﻣﺘﻼزﻣﺔ‬ ‫إﻟﻰ‬
‫اﻟﺮوﻣﺎﺗﻮﻳﺪي‬ ‫اﻟﻨﻔﻖ اﻟﺮﺳﻐﻲ‬ ‫‪1 :4‬‬

‫اﻟﺬﺋﺒﺔ‬ ‫ﻣﺰﻣﻦ‬ ‫ﻧﻌﻢ‬ ‫اﻟﻤﻔﺎﺻﻞ اﻟﺼﻐﻴﺮة‬ ‫ﻧﻌﻢ‬ ‫ﻻ‬ ‫اﻟﻄﻔﺢ اﻟﺠﻠﺪي ‪،‬‬ ‫‪9: 1‬‬
‫اﻟﺤﻤﺎﻣﻴﺔ‬ ‫ﻓﻌﻼ‬ ‫ﻓﻌﻼ‬ ‫ﻗﺮﺣﺔ اﻟﻔﻢ ‪ ،‬اﻟﺘﻬﺎب‬
‫اﻟﺠﻬﺎزﻳﺔ‬ ‫اﻟﻤﺼﻞ )اﻟﺘﻬﺎب‬
‫اﻟﺠﻨﺒﺔ أو اﻟﺘﻬﺎب‬
‫)اﻟﺘﺎﻣﻮر‬

‫ﻓﻲ اﻟﻌﻤﻮد‬ ‫ﻣﺰﻣﻦ‬ ‫ﻻ‬ ‫اﻟﻤﻔﺎﺻﻞ اﻟﺴﻔﻠﻴﺔ اﻟﺴﻔﻠﻴﺔ‬ ‫ﻧﻌﻢ‬ ‫ﻋﻨﻖ‬ ‫ﻻ ﺷﻲء‬ ‫‪1: 1‬‬
‫اﻟﻔﻘﺮي‬ ‫‪ ،‬اﻟﻤﻔﺎﺻﻞ اﻟﺒﻴﻨﻴﺔ اﻟﻘﺮﻳﺒﺔ‬ ‫ﻻ‬ ‫اﻟﺮﺣﻢ‬ ‫إﻟﻰ‬
‫واﻟﺒﻌﻴﺪة ‪ ،‬أول ﻣﻔﺼﻞ‬ ‫وأﺳﻔﻞ‬ ‫‪1 :2‬‬
‫ﺳﺮﻃﺎﻧﻲ‬ ‫اﻟﻈﻬﺮ‬

‫ﻓﻴﺒﺮوﻣﻴﺎﻟﻐﻴﺎ‬ ‫ﻣﺰﻣﻦ‬ ‫ﻻ‬ ‫ﻣﻨﺘﺸﺮ‬ ‫ﻧﻌﻢ‬ ‫ﻧﻌﻢ‬ ‫أﻟﻢ ﻋﻀﻠﻲ ‪ ،‬ﻧﻘﺎط‬ ‫‪9: 1‬‬
‫ﻓﻌﻼ‬ ‫ﻓﻌﻼ‬ ‫ﻃﺮﻳﺔ ‪ ،‬ﻣﺘﻼزﻣﺔ‬
‫اﻟﻘﻮﻟﻮن اﻟﻌﺼﺒﻲ‬
 ‫ﺗﻮزﻳﻊ‬

‫ﻧﺴﺒﺔ‬
‫اﻟﺘﺴﻠﺴﻞ‬ ‫ﺗﻮرط‬ ‫ﻣﻈﺎﻫﺮ ﺧﺎرج‬ ‫اﻹﻧﺎث‬
‫ﻣﺮض‬ ‫اﻟﺘﻬﺎب‬ ‫ﻧﻤﻂ‬ ‫ﺗﻨﺎﻇﺮ‬
‫اﻟﺰﻣﻨﻲ‬ ‫ﻣﺤﻮري‬ ‫اﻟﻤﻔﺼﻞ‬ ‫إﻟﻰ‬
‫اﻟﺬﻛﻮر‬

‫اﻟﺘﻬﺎب‬ ‫ﻣﺰﻣﻦ‬ ‫ﻧﻌﻢ‬ ‫اﻟﻤﻔﺎﺻﻞ اﻟﻜﺒﻴﺮة‬ ‫ﻧﻌﻢ‬ ‫ﻧﻌﻢ‬ ، ‫اﻟﺘﻬﺎب اﻟﻘﺰﺣﻴﺔ‬ 1: 1

‫اﻟﻔﻘﺎر‬ ‫ﻓﻌﻼ‬ ‫ﻓﻌﻼ‬ ‫ﻓﻌﻼ‬ ، ‫اﻟﺘﻬﺎب اﻷوﺗﺎر‬ ‫إﻟﻰ‬
‫اﻟﻼﺻﻖ‬ ‫ﻗﺼﻮر اﻷﺑﻬﺮ‬ 5 :1

‫اﻟﺘﻬﺎب‬ ‫ﻣﺰﻣﻦ‬ ‫ﻧﻌﻢ‬ ‫اﻟﻤﻔﺎﺻﻞ اﻟﻜﺒﻴﺮة‬ ‫ﻧﻌﻢ‬ ‫ﻧﻌﻢ ﻻ‬ ‫ اﻟﺘﻬﺎب‬، ‫اﻟﺼﺪﻓﻴﺔ‬ 1: 1

‫اﻟﻤﻔﺎﺻﻞ‬ ‫ﻓﻌﻼ‬ ‫واﻟﺼﻐﻴﺮة‬ ‫ﻻ‬ ‫اﻟﺪﻛﺘﺎﻳﻞ )"أرﻗﺎم‬
‫اﻟﺼﺪﻓﻴﺔ‬ ‫ اﻟﺘﻬﺎب‬، ("‫اﻟﻨﻘﺎﻧﻖ‬
‫ اﻟﺤﺜﻞ‬، ‫اﻷوﺗﺎر‬
‫اﻟﻈﻔﺮ‬

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