Shichikawa K, Takenaka Y, Morita H
Shichikawa Arthritis Research Center, Mie, Japan.
Rev Rhum Mal Osteoartic. 1992 Nov 30;59(11):757-60.
A sixty-one year-old male developed subacute polyenthesitis one month after the onset on pleuropulmonary disease. This last manifestation resolved completely six months later, whereas the enthesopathy ran a subacute course, improving over time. Three years after onset, the patient had monoarthritis of the left elbow and tendinitis of both Achilles tendons. During the course of the disease, neutralizing antibodies against Coxsackie virus A9 rose significantly then returned to normal when clinical manifestations improved. This finding suggests that viral infections may cause enthesopathy.
一名61岁男性在胸膜肺部疾病发病1个月后出现亚急性多附着点炎。胸膜肺部疾病的最后表现6个月后完全消退,而附着点病呈亚急性病程,随时间推移有所改善。发病3年后,患者出现左肘单关节炎和双侧跟腱炎。在疾病过程中,抗柯萨奇病毒A9中和抗体显著升高,当临床表现改善时恢复正常。这一发现提示病毒感染可能导致附着点病。