问明医我的胳膊肘外侧关节处长了个大豆大小的肉疙瘩,我想知道是什么？抵压时有疼痛感，可以移动 糖尿病人可食用的食物和不可食用的事物
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1\u3001\u4e3b\u98df\u7c7b\uff1a\u6bcf\u5929\u4e00\u822c\u63a7\u5236\u57285-6\u4e24\u5de6\u53f3\uff0c\u5e76\u5c3d\u91cf\u914d\u5360\u7389\u7c73\u3001\u5c0f\u7c73\u3001\u835e\u9ea6\u7b49\u7c97\u7cae\uff0c\u5c11\u5403\u5927\u7c73\u3001\u767d\u9762\u7b49\u7ec6\u7cae\u3002
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2006-03-06 08:33:28 \u674e\u7766
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转贴:
类风湿皮下结节
在类风湿关节炎的患者中，约有1/4的人可发生皮下结节。
此皮下结节多发生在关节周围骨突受摩擦较多的部位。 最常见于鹰嘴突下，其次在腕、指的伸侧，尾骶及前臂伸肌皮面，少数可见于头皮、耳和鼻梁处。类风湿关节炎皮下结节数量不多，一般为1个或数个，呈圆形或椭圆形，直径约0。
2-3厘米大小，大多为可推动的硬节。如果结节附在骨膜、肌腱或腱鞘上，则不能活动。在光学显微镜下可见结节中心为不规则的纤维细胞、淋巴细胞、巨噬细胞包绕，外层还有肉芽组织。 如病程长，还可变为成纤维细胞和致密结缔组织形成的硬节。
类风湿皮下结节无明显触痛，生长缓慢，可持续数月或数年不消退。但亦可在治疗后几天或几周随病情缓解而结节也随之消失。类风湿皮下结节偶尔可因外伤或摩擦发生破溃，或继发感染。
类风湿皮下结节的出现与血清中类风湿因子的高滴度有关，也与严重的关节破坏及类风湿关节炎的活动性有关。
因此皮下结节可作为诊断类风湿关节炎的依据之一。亦可作为判定病变活动度及提示预后的指标之一。
但应注意的是此皮下结节偶尔也可见于其他结缔组织病。
因此，它不能作为类风湿关节炎的肯定诊断的依据。还应结合其他方面的症状、体征、实验室检查等，方可作出肯定的诊断。
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