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儿童期起病的赖特综合征,特别提及 HLA B27。病例报告及文献复习。

Reiter's disease with childhood onset having special reference to HLA B27. Report of a case and a review.

作者信息

Friis J

出版信息

Scand J Rheumatol. 1980;9(4):250-2. doi: 10.3109/03009748009112358.

DOI:10.3109/03009748009112358
PMID:6969934
Abstract

A case of Reiter's disease occurring in a girl aged 7 is reported. It commenced with diarrhoea precipitated by a salmonella infection. The patient has suffered from recurring arthritis accompanied by conjunctivitis, oral lesions and nail changes. The course was protracted, the patients having had two recurrences during a period of 6 1/2 years. The first of these lasted for more than one year, the second for a few months. The patient carries the histocompatibility antigen HLA B27 and a review of the literature would seem to establish that the correlation between Reiter's disease with childhood onset and this tissue antigen is as close as that reported in adults. It is stressed that the patient is now in complete remission and that no radiological changes have been demonstrated despite the protracted course. The patient shows no signs either of spondylitis or of sacro-iliitis.

摘要

报告了一例发生在7岁女孩身上的赖特综合征病例。该病始于沙门氏菌感染引发的腹泻。患者反复出现关节炎,并伴有结膜炎、口腔病变和指甲改变。病程迁延,患者在6年半的时间里复发了两次。第一次持续了一年多,第二次持续了几个月。患者携带组织相容性抗原HLA B27,文献综述似乎证实儿童期发病的赖特综合征与这种组织抗原之间的相关性与成人报道的一样密切。需要强调的是,患者目前已完全缓解,尽管病程迁延,但未发现放射学改变。患者也没有脊柱炎或骶髂关节炎的迹象。

相似文献

1
Reiter's disease with childhood onset having special reference to HLA B27. Report of a case and a review.儿童期起病的赖特综合征,特别提及 HLA B27。病例报告及文献复习。
Scand J Rheumatol. 1980;9(4):250-2. doi: 10.3109/03009748009112358.
2
Clinical symptoms and HLA antigens in a family with Reiter's disease.赖特综合征家族中的临床症状与HLA抗原
Scand J Rheumatol. 1985;14(2):149-58. doi: 10.3109/03009748509165496.
3
Followup study on patients with Reiter's disease and reactive arthritis, with special reference to HLA-B27.赖特综合征和反应性关节炎患者的随访研究,特别提及人类白细胞抗原B27
Arthritis Rheum. 1982 Mar;25(3):249-59. doi: 10.1002/art.1780250302.
4
AIDS-associated Reiter's syndrome.艾滋病相关的赖特综合征。
Ann Allergy. 1994 Apr;72(4):307-16.
5
HLA antigens in Reiter's syndrome in Israeli patients.以色列患者赖特综合征中的人类白细胞抗原
J Rheumatol. 1985 Oct;12(5):964-6.
6
[Histocompatibility antigens in 312 patients with Reiter's syndrome].[312例赖特综合征患者的组织相容性抗原]
Reumatizam. 1983;30(5-6):126-30.
7
Absence of autoantibodies to peptides shared by HLA-B27.5 and Klebsiella pneumoniae nitrogenase in serum samples from HLA-B27 positive patients with ankylosing spondylitis and Reiter's syndrome.来自 HLA - B27 阳性的强直性脊柱炎和赖特综合征患者血清样本中,不存在针对 HLA - B27.5 和肺炎克雷伯菌固氮酶共有的肽段的自身抗体。
Ann Rheum Dis. 1992 Jun;51(6):783-9. doi: 10.1136/ard.51.6.783.
8
The occurrence of nail pitting in Reiter's syndrome.赖特综合征中指甲凹痕的出现。
J Am Acad Dermatol. 1980 Jan;2(1):66-8. doi: 10.1016/s0190-9622(80)80296-9.
9
Family studies with HLA typing in Reiter's syndrome.赖特综合征的HLA分型家族研究。
Am J Med. 1981 Jun;70(6):1210-4. doi: 10.1016/0002-9343(81)90829-9.
10
Aortic insufficiency in Reiter's syndrome of juvenile onset.青少年型赖特综合征中的主动脉瓣关闭不全。
J Rheumatol. 1984 Feb;11(1):94-5.

引用本文的文献

1
Reactive Arthritis in Children: Case Report, Narrative Review and Proposed Therapy.儿童反应性关节炎:病例报告、叙述性综述及治疗建议。
Curr Pediatr Rev. 2024;20(4):444-452. doi: 10.2174/1573396320666230913103007.
2
Infectious involvements in males with Reiter's syndrome.赖特综合征男性患者的感染性累及情况。
Clin Rheumatol. 1984 Dec;3(4):443-9. doi: 10.1007/BF02031266.