两例赖特综合征。

Two cases of Reiter's syndrome.

作者信息

Shibasaki T, Usui M, Kodama K, Gomi H, Matsuda H, Ishimoto F, Sakai O, Miyahara T

机构信息

Second Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan.

出版信息

Jpn J Med. 1990 Jan-Feb;29(1):85-8. doi: 10.2169/internalmedicine1962.29.85.

DOI:10.2169/internalmedicine1962.29.85

PMID:2214352

Abstract

Two characteristic cases of Reiter's syndrome are reported. One (case T.M) was a 64-year-old female with ulcerative colitis and the other (case O.M) was a 20-year-old male with serum antistreptococcal lysine O (ASLO) and antistreptokinase (ASK) titers of 480x and 2560x, respectively. These cases were both histocompatibility antigen HLA-B27 positive. The ulcerative colitis and iritis were inactive in case T.M. However, case O.M required aggressive treatment for fever and arthralgia. These patients have recently shown no evidence of Reiter's syndrome; however, case T.M has had recurrent bowel hemorrhages due to ulcerative colitis.

摘要

报告了两例赖特综合征的典型病例。一例（T.M.病例）是一名64岁患有溃疡性结肠炎的女性，另一例（O.M.病例）是一名20岁男性，其血清抗链球菌溶血素O（ASLO）和抗链激酶（ASK）滴度分别为480倍和2560倍。这两例病例的组织相容性抗原HLA - B27均为阳性。T.M.病例中的溃疡性结肠炎和虹膜炎处于非活动期。然而，O.M.病例因发热和关节痛需要积极治疗。这些患者最近未显示出赖特综合征的迹象；不过，T.M.病例因溃疡性结肠炎出现了反复肠道出血。