Wollenhaupt H J, Schneider C, Zeidler H, Krech T, Kuntz B M
Abteilung Rheumatologie, Zentrum Innere Medizin und Dermatologie der Medizinischen Hochschule Hannover.
Dtsch Med Wochenschr. 1989 Dec 1;114(50):1949-54. doi: 10.1055/s-2008-1066852.
Chlamydia-induced arthritis was diagnosed in 32 patients (18 men and 14 women; mean age 33 [17-54] years). 13 were HLA-B27 positive. In 19 patients the arthritis was largely confined to one joint. Enthesopathies occurred in 14 patients, and in 13 sacroiliitis was diagnosed radiologically. The most frequent extra-articular changes affected the urogenital system (26 cases). The full Reiter syndrome was present in seven patients (four men, three women). All patients had serum antibodies against Chlamydia. In 16 patients Chlamydia was diagnosed as the causative organism by urogenital swab. Chlamydia-induced arthritis differs from other arthritides in the high proportion of HLA-B27 negative patients.
32例患者被诊断为衣原体感染所致关节炎（18例男性，14例女性；平均年龄33 [17 - 54]岁）。13例为HLA - B27阳性。19例患者的关节炎主要局限于一个关节。14例患者出现附着点病，13例经放射学诊断为骶髂关节炎。最常见的关节外改变累及泌尿生殖系统（26例）。7例患者出现完全型赖特综合征（4例男性，3例女性）。所有患者血清中均有抗衣原体抗体。16例患者经泌尿生殖道拭子检查诊断衣原体为病原体。衣原体感染所致关节炎与其他关节炎不同之处在于HLA - B27阴性患者比例较高。
