Cunningham A L, Fraser J R, Clarris B J, Hobbs J B
Aust N Z J Med. 1979 Aug;9(4):440-3. doi: 10.1111/j.1445-5994.1979.tb04177.x.
A case of herpes zoster complicated by acute arthritis with effusions is described. The white cell count in the synovial fluid was low, with a predominance of neutrophils. The synovium showed superficial deposits of fibrin, slight intimal hyperplasia, and subintimal polymorph infiltration. Varicella virus was not detected by culture or electron microscopy, but varicella antigen was demonstrated in the cytoplasm of macrophages in the effusion. Other findings did not determine whether the antigen had appeared in the joint from circulating immune complexes, or following synovial phagocytosis or proliferation of virus.
本文描述了一例带状疱疹并发急性关节炎伴积液的病例。滑液中的白细胞计数较低，以中性粒细胞为主。滑膜显示有纤维蛋白的浅表沉积、轻微的内膜增生和内膜下多形核细胞浸润。通过培养或电子显微镜未检测到水痘病毒，但在积液中的巨噬细胞胞质中发现了水痘抗原。其他检查结果无法确定该抗原是通过循环免疫复合物出现在关节中，还是在滑膜吞噬或病毒增殖后出现的。
