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由B19微小病毒引起的感染。

Infections caused by parvovirus B19.

作者信息

Chinea B, Ramírez Ronda C H

机构信息

Infectious Diseases Program, University of Puerto Rico, School of Medicine, San Juan 00927-5800, USA.

出版信息

Bol Asoc Med P R. 1996 Jan-Mar;88(1-3):20-6.

PMID:8885443
Abstract

Parvovirus B19 was discovered in 1974 by Cossart et al; is a single stranded unenveloped DNA virus, which virion is isometric, uniform and has icosagedral symmetry. B19 infection has been found in all countries, it is almost certainly world-wide in distribution. Infections occurs most frequently in late winter, spring and early summer months and are transmitted by respiratory route. Erythema infectiosum is the most common manifestation of human parvovirus B19 infection, is most commonly acquired between 4 and 10 years of age and at least 60% of adults are seropositive. Erythema Infectiosum is characterized by three stages of rash that involves the face and may also involves trunk and extremities. In adult patients, particularly women, arthralgia or arthritis have been associated with up to 80% of Erythema Infectiosum casually starts in the small joints of the hand. Maternal parvovirus B19 infection with or without rash, can affect fetus. Transient aplastic crisis can be caused by HPV B19 in patient who have increased rate of RBC destruction or loss. Others diseases or symptoms complexes may be associated with B19 infection in the coming years as this virus and its infections continues being an interesting field of investigation.

摘要

细小病毒B19于1974年由科萨特等人发现;它是一种单链无包膜DNA病毒,其病毒体呈等轴对称、均匀且具有二十面体对称性。在所有国家均发现了B19感染,其分布几乎肯定是全球性的。感染最常发生在冬末、春季和初夏月份,通过呼吸道传播。传染性红斑是人类细小病毒B19感染最常见的表现,最常见于4至10岁之间感染,至少60%的成年人血清呈阳性。传染性红斑的特征是皮疹有三个阶段,累及面部,也可能累及躯干和四肢。在成年患者中,尤其是女性,高达80%的传染性红斑伴有关节痛或关节炎,通常始于手部小关节。孕妇感染细小病毒B19无论有无皮疹,都可能影响胎儿。在红细胞破坏或丢失率增加的患者中,HPV B19可引起暂时性再生障碍危象。随着这种病毒及其感染继续成为一个有趣的研究领域,未来几年可能会发现其他疾病或症状复合体与B19感染有关。

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