Susković T, Jajić I, Zivanić-Radonjić S, Svaljek R
Medicinskog fakulteta u Zagrebu, Interna klinika bolnice "Dr. M. Stojanović", Zagreb.
Lijec Vjesn. 1990 May-Jun;112(5-6):159-64.
In 1988, 11 patients with a suspicion to rheumatic fever (RF) or acute polyarthritis were admitted to the Department of Internal Medicine, University Hospital, "Dr. M. Stojanović". Eight patients have been extensively treated together with a physiatrist, while one of them on an outpatient basis. Follow-up has been from 3 to 9 months. Rheumatic fever was diagnosed with a certainty in only one patient. Three have had the diagnoses of Reiter's syndrome and individually, of infectional, ankylosing and rheumatoid arthritis. One patient is still followed up because of the symptomatic diagnosis of partially cured oligoarthritis or recurrent RF. The numerical relation of established diagnoses for the followed up patients has been in accordance with the decrease in incidence of RF both in our country and the world some decades ago. The possible causes of frequent diagnoses of RF in adults and the necessity of careful evaluation of clinical and laboratory parameters and the need to follow-up unclear polyarthritis even when the patients are not hospitalized, until the definite diagnosis has not been made is stressed in this paper. Therefore, the administration of corticosteroids has to be avoided in these patients, except in special cases.
1988年，11名疑似风湿热（RF）或急性多关节炎的患者被收治入“M. 斯托亚诺维奇博士”大学医院内科。8名患者与一名物理治疗师一起接受了全面治疗，其中1名患者为门诊治疗。随访时间为3至9个月。仅1名患者被确诊为风湿热。3名患者被诊断为赖特综合征，另有患者分别被诊断为感染性关节炎、强直性脊柱炎和类风湿关节炎。1名患者因部分治愈的寡关节炎或复发性RF的症状性诊断仍在接受随访。随访患者确诊疾病的数量关系与几十年前我国和世界上RF发病率的下降情况一致。本文强调了成人RF诊断频繁的可能原因、仔细评估临床和实验室参数的必要性，以及即使患者不住院也需要对不明原因的多关节炎进行随访，直到做出明确诊断。因此，除特殊情况外，这些患者必须避免使用皮质类固醇。
