Krajnc I
Klinicka bolnica Maribor, Ljubljanska, Slovenija.
Reumatizam. 1993;40(2):7-11.
In most cases, reactive arthritis occurs after urogenital and gastrointestinal infections. Anamnesis, clinical picture, antigen HLA-B27 determination and serologic antibody ascertainment are of essential importance to the diagnosis. The therapeutic value of antibiotics is questionable, owing above all to the fact that in chlamydia-induced arthritis the causative agent was found in the intraarticular biopsy specimen. The prognosis of the disease is favourable although relapses are frequent. Especially Reiter's disease may have a chronic course.
在大多数情况下,反应性关节炎发生于泌尿生殖系统和胃肠道感染之后。病史、临床表现、抗原HLA - B27测定及血清学抗体检测对诊断至关重要。抗生素的治疗价值存疑,主要原因是在衣原体诱发的关节炎中,关节内活检标本中未发现病原体。尽管疾病复发频繁,但预后良好。尤其是赖特综合征可能呈慢性病程。