日本的链球菌感染后反应性关节炎。

Poststreptococcal reactive arthritis in Japan.

作者信息

Nishibukuro Maria, Tsutsumi Norito, Chiyotanda Masako, Hijikata Tae, Morichi Shinichiro, Go Soupei, Yamanaka Gaku, Kashiwagi Yasuyo, Kawashima Hisashi

机构信息

Department of Pediatrics, Tokyo Medical University, Tokyo, Japan.

出版信息

J Infect Chemother. 2018 Jul;24(7):531-537. doi: 10.1016/j.jiac.2018.02.012. Epub 2018 Mar 30.

DOI:10.1016/j.jiac.2018.02.012

PMID:29606414

Abstract

Reactive arthritis after Group A streptococcal infection (poststreptococcal reactive arthritis: PSRA) that does not meet the Jones criteria for acute rheumatic fever (ARF) has been reported as a new entity for over a decade. In Japan there are few reports of PSRA. We encountered four children with arthritis accompanied with Group A streptococcal infection in our department. We investigated our cases and the recent Japanese literature. Japanese cases of PSRA are frequently accompanied with uveitis and erythema nodosum, and tonsillectomy resolved their symptoms in some cases. There were overlap cases between ARF, juvenile idiopathic arthritis, and PSRA.

摘要

A组链球菌感染后反应性关节炎（链球菌感染后反应性关节炎：PSRA），不符合急性风湿热（ARF）的琼斯标准，作为一种新的疾病实体已被报道了十多年。在日本，关于PSRA的报道很少。我们科室遇到了4例伴有A组链球菌感染的关节炎患儿。我们对我们的病例和近期的日本文献进行了研究。日本的PSRA病例常伴有葡萄膜炎和结节性红斑，在某些病例中扁桃体切除可缓解症状。ARF、幼年特发性关节炎和PSRA之间存在重叠病例。