Hsaini Yahya, Karouache Abdelkrim, El Kharras Abdenacer, Darbi Abdellatif, Bourazza Ahmed
Service de neurologie, Hôpital militaire Mohamed V, Rabat, Morocco.
Ann Biol Clin (Paris). 2010 Jul-Aug;68(4):495-8. doi: 10.1684/abc.2010.0456.
The authors report three cases revealed by tabes arthropathy in patients younger than 45 years. The age of patients was respectively 42, 40, 42. The clinical symptoms consisted of a painless knee strain, isolated in one case, associated with radiculocordonal posterior syndrome in two cases. The radiological lesions showed bone destruction. The biological assessment was for a venereal disease. The outcome was disappointing, despite a well conducted treatment. The observation of such cases should suggest a syphilitic origin ahead any advanced painless arthropathy even in young patients.
作者报告了3例45岁以下因梅毒性关节病而确诊的病例。患者年龄分别为42岁、40岁、42岁。临床症状包括一例单纯无痛性膝关节扭伤,两例伴有神经根脊髓后综合征。放射学检查显示有骨质破坏。生物学评估显示为性病。尽管治疗得当,但结果令人失望。即使是年轻患者,出现任何进展性无痛性关节病时,对此类病例的观察都应提示梅毒起源。