Halsey J P, Reeback J S, Barnes C G
Ann Rheum Dis. 1982 Feb;41(1):7-10. doi: 10.1136/ard.41.1.7.
Thirty-eight of 58 patients with skeletal tuberculosis (TB) reviewed were immigrants and 20 were of British indigenous origin. Spinal involvement i 28 cases was less common than involvement of peripheral joints, bones, or tendon sheaths (30 cases). Predisposing factors, including previous TB, were present in 70% of British patients and 31% of immigrants. Follow-up study of 23 cases showed that a complete clinical recovery of the skeletal disease was more likely in immigrants than indigenous cases and also in cases referred to hospital early. Immigrants presented usually within 5 years after arrival in Britain and at a younger age than indigenous cases; a quarter had within 5 sites of infection outside the skeletal system. Skeletal tuberculosis in the indigenous population remains very uncommon, and in half of these cases a history of previous TB was given. The need for continued awareness of skeletal TB is stressed, especially in immigrants, and also the importance of early diagnosis and institution of appropriate therapy.
在接受评估的58例骨结核患者中，38例为移民，20例为英国本土居民。28例脊柱受累的情况不如外周关节、骨骼或腱鞘受累（30例）常见。包括既往结核病在内的易感因素在70%的英国患者和31%的移民中存在。对23例患者的随访研究表明，与本土患者相比，移民患者骨病完全临床康复的可能性更大，早期转诊至医院的患者也是如此。移民通常在抵达英国后5年内发病，发病年龄比本土患者小；四分之一的患者在骨骼系统外有5个以内的感染部位。本土人群中的骨结核仍然非常罕见，其中一半患者有既往结核病病史。强调需要持续关注骨结核，尤其是在移民中，同时强调早期诊断和采取适当治疗的重要性。
