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Arthritis und Rheuma 2015; 35(06): 355-361
DOI: 10.1055/s-0037-1618391
Blickdiagnosen in der Rheumatologie
Schattauer GmbH

Per Fingerzeig zur Diagnose

Blickdiagnosen rheumatischer Erkrankungen am FingerA diagnosis on a fingertipInstant visual diagnosis of rheumatic diseases by inspecting the fingers
C. Fiehn
1   ACURA-Rheumazentrum Baden-Baden
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Publication History

Publication Date:
23 December 2017 (online)

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Zusammenfassung

Inspektion und Palpation der Finger zählen zu den wesentlichen Werkzeugen der körper-lichen Untersuchung des Rheumatologen. Dies liegt daran, dass sehr typische und für bestimmte Diagnosen hochspezifische Befunde an den Fingern erhoben werden können. Mit etwas Erfahrung bzw. Kenntnis der möglichen Befunde können dabei mit einem Blick Diagnosen gestellt, bzw. zumindest wichtige diagnostische Hinweise dafür gefunden werden. Die wichtigsten dieser Befunde, deren Pathophysiologie und deren Bedeutung in den Klassifikationskriterien der entsprechenden Erkrankungen werden in dieser Übersicht dargestellt.

Summary

Inspection and palpation of the fingers belong to the main tools of physical examination for rheumatologists. This is because very typical and for often highly specific findings can be observed at the fingers. With some experience and knowledge of the possible manifestations it is possible to instantly make visual diagnosis or at least to give important hints for them. The most important findings, their pathophysiology and their importance for current classification criteria of rheumatic diseases are described in this article.

Schlüsselwörter

Blickdiagnostik - Finger - Inspektion - Palpation

Keywords

Visual diagnosis - finger - inspection - palpation
 

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