Van Trimpont P, Dubois J L, Dequeker J
Rev Rhum Mal Osteoartic. 1976 Feb;43(2):117-21.
Four cases in acute polyarthritis observed in Belgium, secondary to infection with Yersinia enterocolitica are reported. Apart from in Finland, where the frequency of yersinian rheumatism appears to be equal to that of Bouillaud's disease, these published cases are exceptional. This might appear surprising when it is realized that Yersinia is endemic in Western Europe and in other parts of the world and that alimentary manifestations are not rare and are now well known. This polyarthritis presents as an aspecific oligo-arthritis that is often preceded by acute enteritis and resolves itself spontaneously in several months. Determination of specific agglutinins is the basis of diagnosis. Twice the authors noted a temporary gonoreaction associated with an increase in the anti-Yersinia agglutinins. The few cases presented will help in the recognition of this new form of acute polyarthritis, which may be included among the infectious rheumatisms, and which is probably more frequent than it appears from reading the rheumatological literature.
本文报告了在比利时观察到的4例急性多关节炎病例，这些病例继发于小肠结肠炎耶尔森菌感染。除了在芬兰，耶尔森菌性风湿病的发病率似乎与布氏病相同外，这些已发表的病例非常罕见。当人们意识到耶尔森菌在西欧和世界其他地区呈地方性流行，且消化道表现并不罕见且现已广为人知时，这可能会显得令人惊讶。这种多关节炎表现为非特异性寡关节炎，通常在急性肠炎之前出现，并在几个月内自行缓解。特异性凝集素的测定是诊断的基础。作者两次注意到与抗耶尔森菌凝集素增加相关的暂时性淋病反应。所呈现的少数病例将有助于识别这种新型急性多关节炎，它可能属于感染性风湿病，而且其实际发病率可能比从风湿病学文献中看起来的要高。
