Adizie T, Adebajo A O
Rheumatology Department, Solihull Hospital, Solihull B91 2JL, UK.
Academic Rheumatology Group, Faculty of Medicine, University of Sheffield, Sheffield S10 2RX, UK.
Best Pract Res Clin Rheumatol. 2014 Dec;28(6):973-85. doi: 10.1016/j.berh.2015.04.006. Epub 2015 May 20.
Health problems are self-reported by up to 64% of travellers to the developing world. Traditionally, rheumatic symptoms are accorded little significance, but many travellers do return home with musculoskeletal complaints. The assessment of these patients is often hindered by the Western clinician's lack of familiarity with the types of infections that the patient may have encountered while travelling. Standard serological tests for autoimmune diseases can be unreliable in the setting of concomitant tropical infection, and these infections themselves can have musculoskeletal manifestations. Even in the absence of tropical infection, laboratory investigation of musculoskeletal symptoms in individuals of different ethnicities is challenging due to genetic and physiological variation. This review focusses on addressing the impact global migration has had on rheumatological clinical practice.
前往发展中世界的旅行者中，高达64%的人自我报告有健康问题。传统上，风湿症状被认为不太重要，但许多旅行者回国时确实伴有肌肉骨骼方面的不适。对这些患者的评估常常受到阻碍，因为西方临床医生对患者在旅行期间可能接触到的感染类型缺乏了解。在同时存在热带感染的情况下，自身免疫性疾病的标准血清学检测可能不可靠，而且这些感染本身也可能有肌肉骨骼表现。即使没有热带感染，由于遗传和生理差异，对不同种族个体的肌肉骨骼症状进行实验室检查也具有挑战性。本综述着重探讨全球移民对风湿病临床实践的影响。
