Hodgetts T J
British Military Hospital Hannover.
J R Army Med Corps. 1990 Oct;136(3):170-2. doi: 10.1136/jramc-136-03-12.
Major conflicts in history have yielded an equal number of medical casualties as those injured in battle, and no more common a problem exists in the insanitary conditions of war as dysentery. The complication of arthritis following dysentery has been documented since ancient times, but it is not until the 16th Century that these cases appear in any numbers, and then it is predominantly in military personnel. "Reiter's Disease" is currently understood to mean an asymmetrical, predominantly lower-limb polyarthritis developing after urethritis (usually non-gonococcal) or dysentery; conjunctivitis is not always a constant feature. This is the commonest inflammatory polyarthropathy of young men and both the epidemic (dysenteric) and sporadic (venereal) forms are historically prevalent in soldiers--a not surprising fact considering the squalor of war and the unrestrained behaviour of the Private soldier. This paper traces the history of Reiter's disease and highlights its affinity for military populations.
历史上的重大冲突造成的医疗伤亡人数与战场上受伤的人数相当，而在战争的不卫生条件下，痢疾是最常见的问题。自古以来就有关于痢疾后关节炎并发症的记载，但直到16世纪才出现大量此类病例，而且主要发生在军事人员身上。“赖特综合征”目前被理解为尿道炎（通常是非淋菌性）或痢疾后出现的不对称性、以下肢为主的多关节炎；结膜炎并非总是其固定特征。这是年轻男性中最常见的炎性多关节炎，无论是流行性（痢疾性）还是散发性（性病性）形式，在历史上士兵中都很普遍——考虑到战争的恶劣环境和普通士兵无节制的行为，这并不奇怪。本文追溯了赖特综合征的历史，并强调了它与军人的关联。
