Kamath Surendra U, Manjunatha B H
Department of Orthopaedics, KMC Hospital, Mangalore 575001.
J Indian Med Assoc. 2011 Mar;109(3):180-1.
With the increase in the number of human immunodeficiency virus positive patients, more and more patients are referred with musculoskeletal or joint manifestations. It is important to differentiate between various causes resulting in musculoskeletal or joint manifestations. In this prospective study 30 patients out of 569 human immune deficiency virus positive patients presented with musculoskeletal or joint manifestations (incidence being 5.27%), simple arthralgia was the most common manifestation in 16 patients. Reactive arthritis was diagnosed in 6 patients and infective arthritis in 5 patients. After the treatment 16 patients had complete recovery, 9 patients had partial recovery and 3 patients had no recovery of joint manifestation. One patient expired due to septicaemia and another lost to follow-up.
随着人类免疫缺陷病毒阳性患者数量的增加,越来越多的患者因肌肉骨骼或关节表现前来就诊。区分导致肌肉骨骼或关节表现的各种病因很重要。在这项前瞻性研究中,569例人类免疫缺陷病毒阳性患者中有30例出现肌肉骨骼或关节表现(发病率为5.27%),16例患者中最常见的表现是单纯关节痛。6例患者被诊断为反应性关节炎,5例患者被诊断为感染性关节炎。治疗后,16例患者关节表现完全恢复,9例患者部分恢复,3例患者关节表现未恢复。1例患者因败血症死亡,另1例失访。