假结核耶尔森菌腹泻后关节病
Postdiarrheal arthropathy of Yersinia pseudotuberculosis.
作者信息
Chalmers A, Kaprove R E, Reynolds W J, Urowitz M B
出版信息
Can Med Assoc J. 1978 Mar 4;118(5):515-6.
Abstract
Two patients with acute gastroenteritis in whom polyarthritis subsequently developed were found to have positive serologic results for Yersinia pseudotuberculosis. With resolution of the arthropathy the antibody titres decreased. While the patient without the histocompatibility antigen HLA-B27 had an acute, self-limited arthritis, the patient with this antigen had a more chronic arthritis. Serologic typing and stool culture for Y. pseudotuberculosis should be done in cases of postdysenteric arthritis.
摘要
两名急性胃肠炎患者随后出现了多关节炎，结果发现他们针对假结核耶尔森菌的血清学检测呈阳性。随着关节病的缓解，抗体滴度下降。没有组织相容性抗原HLA - B27的患者患的是急性自限性关节炎，而有该抗原的患者患的是更慢性的关节炎。对于痢后关节炎病例，应进行假结核耶尔森菌的血清学分型和粪便培养。
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