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\u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"yuping-section\">\n  \u003Cdiv class=\"yuping-bg\">\n    \u003Cstrong>分清骨髓瘤骨痛和类风湿关节炎的三个关键信号📝\u003C/strong>\n  \u003C/div>\n  \u003Cdiv class=\"yuping-content\">\n    \u003Col>\n      \u003Cli>\u003Cb>疼痛部位和性质不同：\u003C/b> 骨髓瘤骨痛经常出现在脊柱、肋骨或骨盆，多为持续钝痛，有时夜间更重。而类风湿关节炎则以手指、腕、足等小关节对称晨僵和胀痛为主。\u003C/li>\n      \u003Cli>\u003Cb>伴随症状有区别：\u003C/b> 骨髓瘤还可能出现贫血、反复感染、肾功能异常等全身表现。而类风湿关节炎多见关节晨僵超过1小时，活动后好转，晚期可能有关节畸形，但一般不会像骨髓瘤那样出现明显贫血或肾损害。\u003C/li>\n      \u003Cli>\u003Cb>实验室和影像有差异：\u003C/b> 骨髓瘤常常发现血内单克隆蛋白，或者骨骼片子上有“打洞”样溶骨，一些特殊指标如免疫固定电泳有帮助；而类风湿关节炎则关注类风湿因子、抗CCP抗体阳性，关节X线强调滑膜炎等炎症表现。\u003C/li>\n    \u003C/ol>\n    其实这三点，是咱们风湿免疫科区分这两类疾病的临床抓手。\n  \u003C/div>\n\u003C/div>\n\n\u003Cdiv class=\"yuping-section\">\n  \u003Cdiv class=\"yuping-bg\">\n    \u003Cstrong>出现骨痛或关节痛，应该这样做🏥\u003C/strong>\n  \u003C/div>\n  \u003Cdiv class=\"yuping-content\">\n    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