Zambaz Camille, Dan Diana
Service de rhumatologie, Département de l'appareil locomoteur, CHUV, 1011 Lausanne.
Rev Med Suisse. 2018 Mar 7;14(597):526-528.
Arthritis and arthralgia during a viral infection are often polyarticular and symmetric and can mimic rheumatoid arthritis. Depending on germs, others signs and symptoms as fever, cutaneous rash (Parvovirus B19) or jaundice (hepatitis) can be present. Worldwide most common germs are Parvovirus B19, hepatitis B and C, HIV and alphavirus. There are significant differences throughout the world and epidemiology continues to evolve with a progression of vector-borne infections. Diagnosis of viral arthritis is often difficult and is based on epidemiological, clinical and serological data.
病毒感染期间的关节炎和关节痛通常累及多个关节且呈对称性，可类似类风湿关节炎。根据病原体不同，可能会出现其他症状和体征，如发热、皮疹（细小病毒B19）或黄疸（肝炎）。在全球范围内，最常见的病原体是细小病毒B19、乙型和丙型肝炎病毒、HIV和甲病毒。世界各地存在显著差异，且随着媒介传播感染的增加，流行病学情况也在不断演变。病毒感染性关节炎的诊断通常很困难，需基于流行病学、临床和血清学数据。
