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莱姆病:一种用于研究风湿性疾病感染病因的独特人类模型。

Lyme disease: a unique human model for an infectious etiology of rheumatic disease.

作者信息

Malawista S E, Steere A C, Hardin J A

出版信息

Yale J Biol Med. 1984 Jul-Aug;57(4):473-7.

Abstract

Lyme disease is a complex immune-mediated multi-system disorder that is infectious in origin and inflammatory or "rheumatic" in expression. Through its epidemiologic characteristics, large numbers of a seasonally synchronized patient population are readily available for prospective study. Lyme disease has a known clinical onset ("zero time"), marked by the characteristic expanding skin lesion, erythema chronicum migrans, and a clearly defined pre-articular phase. At least some manifestations of the disorder are responsive to antibiotics, and the causative agent--a spirochete--is now known. These advantages make Lyme disease unique as a human model for an infectious etiology of rheumatic disease.

摘要

莱姆病是一种复杂的免疫介导性多系统疾病,其起源具有传染性,表现为炎症性或“风湿性”。基于其流行病学特征,大量季节性同步的患者群体很容易用于前瞻性研究。莱姆病有已知的临床发病时间(“零时间”),其特征为典型的进行性扩大的皮肤损害——慢性游走性红斑,以及明确界定的关节前期。该疾病的至少某些表现对抗生素有反应,并且现在已知其病原体——一种螺旋体。这些优势使莱姆病作为风湿性疾病感染病因的人类模型具有独特性。

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Lyme disease-a tick-borne spirochetosis?莱姆病——一种蜱传播的螺旋体病?
Science. 1982 Jun 18;216(4552):1317-9. doi: 10.1126/science.7043737.
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Antibiotic therapy in Lyme disease.莱姆病的抗生素治疗
Ann Intern Med. 1980 Jul;93(1):1-8. doi: 10.7326/0003-4819-93-1-1.
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The early clinical manifestations of Lyme disease.莱姆病的早期临床表现。
Ann Intern Med. 1983 Jul;99(1):76-82. doi: 10.7326/0003-4819-99-1-76.
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The spirochetal etiology of Lyme disease.莱姆病的螺旋体病因
N Engl J Med. 1983 Mar 31;308(13):733-40. doi: 10.1056/NEJM198303313081301.
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Treatment of the early manifestations of Lyme disease.莱姆病早期表现的治疗。
Ann Intern Med. 1983 Jul;99(1):22-6. doi: 10.7326/0003-4819-99-1-22.

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