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[蜱传环状红斑的神经系统病变]

[Lesions of the nervous system in tick-borne erythema annulare].

作者信息

Dekonenko E P, Smirnov Iu K, Umanskiĭ K G

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(4):539-45.

PMID:4002945
Abstract

The authors examined thirty-two patients with tick-borne erythema annulare which developed after tick bites. The disease had a peculiar nosological form and was characterized by tick sticking, an incubation period, the presence in the majority of patients of the temperature reaction and manifestations of general infection in the acute period, the development of migrating erythema annulare, frequent lesions (26 patients) of the nervous system in the form of the radicular symptoms, serous meningitis, pareses of the facial muscles, etc. Electrophysiological examination of patients revealed marked changes. Serological tests for tick-borne encephalitis proved negative. The time-course of the disease in the majority of patients was favourable. The disease was characterized by all features typical of an infection lesion, with neurological disorders being predominant, which requires further investigation.

摘要

作者检查了32例蜱叮咬后发生的蜱传环形红斑患者。该病具有特殊的病种形式,其特征为蜱附着、潜伏期、大多数患者在急性期出现体温反应和全身感染表现、移行性环形红斑的发生、以神经根症状、浆液性脑膜炎、面部肌肉麻痹等形式出现的频繁的神经系统损害(26例患者)。对患者的电生理检查显示有明显变化。蜱传脑炎的血清学检测结果为阴性。大多数患者的病程良好。该病具有感染性病变的所有典型特征,以神经功能障碍为主,这需要进一步研究。

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