Siegel L B, Gall E P
Finch University of Health Sciences/Chicago Medical School, Illinois, USA.
Am Fam Physician. 1996 Nov 1;54(6):2009-15.
Rheumatic complaints secondary to viral infections are usually brief, self-limited and nondestructive. They may accompany almost any type of viral illness, and the arthritic presentation is nonspecific. These manifestations are protean, ranging from arthralgia to vasculitis. Often the cause of the rheumatic complaint remains elusive because of the prompt resolution of the viral infection. Evaluation for autoimmune diseases should be postponed until the symptoms have been present for at least six weeks. However, some viral diseases, such as parvovirus, chronic hepatitis B virus and hepatitis C virus infections, can produce long-lasting rheumatic symptoms. Since the arthritis associated with hepatitis C infection has only recently been recognized, it is important to search for this association in patients who have atypical rheumatic complaints, risk factors for hepatitis and alterations in liver enzymes, so that an accurate diagnosis can be established and the pathophysiology can be better understood.
病毒感染继发的风湿性症状通常短暂、自限且无破坏性。它们几乎可伴随任何类型的病毒性疾病出现，且关节炎表现不具特异性。这些表现形式多样，从关节痛到血管炎不等。由于病毒感染迅速缓解，风湿性症状的病因往往难以明确。自身免疫性疾病的评估应推迟至症状出现至少六周后。然而，一些病毒性疾病，如细小病毒、慢性乙型肝炎病毒和丙型肝炎病毒感染，可产生持久的风湿性症状。由于丙型肝炎感染相关的关节炎直到最近才被认识到，因此对于有非典型风湿性症状、丙型肝炎危险因素及肝酶改变的患者，探寻这种关联很重要，以便能做出准确诊断并更好地理解其病理生理学。
