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报告有典型X线改变的牛皮癣性关节炎14例，皮损属寻常型者11例，红皮病型者2例，脓疱型者1例。关节症状皆出现于皮损后，且随皮损的变化而加重或缓解。X线主要表现为远侧指（趾）间关节间隙变窄，关节边缘虫蚀状破坏缺损，末节指骨基底部增生、膨大，而近节或中节指骨远端破坏削尖，从而形成“笔套样”改变。甲粗隆吸收变尖乃至消失，或毛糙不整，呈絮状、胡须状增生膨大。病变进展关节呈骨性强直或因脱位或半脱位而致屈曲畸形。治疗上主要采用保守疗法。
14 cases of psoriatic arthritis with typical X-ray changes were reported. There were 11 cases of abnormal skin lesions, 2 cases of erythrodermic type and 1 case of impetigo. Joint symptoms are found in the skin lesions, and with the changes of the skin lesions aggravate or alleviate. X-ray is mainly manifested as narrowing of the joint space between the distal digits (phalanges), the erosion of the articular edge eroded the defect, the proliferation and enlargement of the base of the phalanges of the distal phalanges, and the destruction of the distal phalanges of the proximal or middle phalanges sharpening to form a “ Kind ”change. A norminal absorption change sharp or even disappear, or rough, was flocculent, bearded hyperplasia. Disease progression joint was bony rigidity or dislocation or subluxation due to flexion deformity. The main treatment of conservative treatment.