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基孔肯雅关节炎——在葡萄牙风湿病学中,我们是否应该预计它会变得更为常见?

Chikungunya arthritis - should we expect it to become more common in Portuguese rheumatology?

机构信息

Hospital de Braga.

Unidade Local de Saúde da Guarda.

出版信息

Acta Reumatol Port. 2020 Oct-Dec;45(4):298-300.

PMID:33420775
Abstract

Chikungunya virus is known to cause acute disease characterized by fever, rash, myalgias, conjunctivitis and arthritis, having potential to cause chronic musculoskeletal disease, namely persistent arthritis. The area of spread of the virus in the world has been increasing and the migratory flows make the occurrence of Chikungunya induced chronic arthritis more and more scattered. Data regarding the experience of Portuguese rheumatology centres in identifying and treating chronic ChikV induced arthritis are not available. The authors describe the diagnosis and treatment aspects of three cases of "imported" Chikungunya induced chronic arthritis, briefly discuss its approach in the light of current knowledge and alert to the possibility this situation may become more prevalent in the Portuguese rheumatology setting.

摘要

基孔肯雅热病毒已知可引起以发热、皮疹、肌痛、结膜炎和关节炎为特征的急性疾病,并有引起慢性肌肉骨骼疾病(即持续性关节炎)的潜力。该病毒在世界范围内的传播范围一直在扩大,迁徙流使基孔肯雅热引起的慢性关节炎的发生越来越分散。关于葡萄牙风湿病中心在识别和治疗慢性基孔肯雅病毒引起的关节炎方面的经验,尚无相关数据。作者描述了三例“输入性”基孔肯雅热引起的慢性关节炎的诊断和治疗情况,简要讨论了根据现有知识对此种疾病的处理方法,并提醒葡萄牙风湿病领域可能会更普遍地出现这种情况。

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