Kazlow P G, Beyer B, Brandeis G
Mt Sinai J Med. 1989 Jan;56(1):65-7.
The differential diagnosis of the patient with acute polyarthritis is lengthy. We present the case of a young man with acute inflammation of the knees and ankles in whom a diagnosis of acute rheumatic fever was initially considered. The clinical course and laboratory findings suggested that secondary syphilis was also a likely etiology of his problem. We believe that in some patients with acute polyarthritis, secondary syphilis must be seriously considered as part of the differential diagnosis.
急性多关节炎患者的鉴别诊断范围很广。我们报告一例年轻男性病例，其膝关节和踝关节出现急性炎症，最初考虑诊断为急性风湿热。临床病程和实验室检查结果提示，二期梅毒也可能是其病因。我们认为，对于一些急性多关节炎患者，在鉴别诊断时必须认真考虑二期梅毒。
