莱姆病中的关节炎与诊断
Arthritis and Diagnostics in Lyme Disease.
作者信息
Quintero Javier A, Attah Raluchukwu, Khianey Reena, Capitle Eugenio, Schutzer Steven E
机构信息
Division of Rheumatology, Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ 07103, USA.
Department of Internal Medicine, Rutgers New Jersey Medical School, Newark, NJ 07103, USA.
出版信息
Trop Med Infect Dis. 2021 Jan 29;6(1):18. doi: 10.3390/tropicalmed6010018.
Abstract
The diagnosis of Lyme disease, caused by is clinical but frequently supported by laboratory tests. Lyme arthritis is now less frequently seen than at the time of its discovery. However, it still occurs, and it is important to recognize this, the differential diagnoses, and how laboratory tests can be useful and their limitations. The most frequently used diagnostic tests are antibody based. However, antibody testing still suffers from many drawbacks and is only an indirect measure of exposure. In contrast, evolving direct diagnostic methods can indicate active infection.
摘要
由[病原体名称未给出]引起的莱姆病的诊断主要基于临床症状，但实验室检查也常常提供支持。如今，莱姆关节炎的发病率相较于刚发现时已有所降低。然而，它仍有发生，认识到这一点、其鉴别诊断以及实验室检查如何发挥作用及其局限性很重要。最常用的诊断测试是基于抗体的。然而，抗体检测仍存在许多缺陷，只是对接触情况的一种间接测量。相比之下，不断发展的直接诊断方法能够指示活动性感染。
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