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[痢疾性风湿病。1976年还遗留了什么?]

[Dysenteric rheumatism. What remains in 1976?].

作者信息

Doury P, Thabaut A, Dechelotte J, Pattin S, Durosoir J L

出版信息

Rev Rhum Mal Osteoartic. 1976 Oct;43(10):577-82.

PMID:1086504
Abstract

Joint manifestations that occur during or after an episode of dysentery, grouped under the name of dysenteric rheumatism, have been known since antiquity, and have been mainly found in military circles, in camps, or during military campaigns. After reviewing the principal epidemics of rheumatism complicated by joint manifestations, the authors show that the only different feature about what is called dysenteric rheumatism is the particular character of the joint manifestations which may be isolated or associated with other manifestations, notably ocular or urethral, forming then what is called the Fiessinger-Leroy-Reiter syndrome. The role of the dysentery bacillus in the genesis of the joint lesions is not clear. Although it may been suspected on the basis of epidemiological or bacteriological arguments in some cases, it has never been formally demonstrated and is often non-existent. The term dysenteric rheumatism is too restrictive and should henceforth be abandoned.

摘要

痢疾发作期间或之后出现的关节表现,归为痢疾性风湿病名下,自古以来便为人所知,主要见于军队、营地或军事行动期间。在回顾了伴有关节表现的风湿病主要流行情况后,作者表明,所谓痢疾性风湿病唯一不同的特征是关节表现的特殊性质,这些表现可能孤立存在,或与其他表现相关,尤其是眼部或尿道表现,进而形成所谓的菲辛格 - 勒鲁瓦 - 赖特尔综合征。痢疾杆菌在关节病变发生中的作用尚不清楚。尽管在某些情况下,基于流行病学或细菌学依据可能会怀疑其作用,但从未得到正式证实,而且往往并不存在。“痢疾性风湿病”这一术语限制过严,因此应予以摒弃。

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