Kufko I T, Lesniak O M, Mel'nikov V G, Baranova N S, Riabitseva O F, Sokolova Z I
Ter Arkh. 1997;69(5):12-5.
The paper presents comparative clinical and laboratory characteristics of 17 cases of Lyme-arthritis (LA) and 28 cases of reactive arthritis (RA). LA and RA patients differed by age and sex. LA arose after the tick bite followed by erythema migrans or infection symptoms. In RA patients the above symptoms were absent. In LA patients arthritis was associated with typical symptoms of neuroborreliosis. The articular syndrome manifested similarly in LA and RA: arthritis was preceded by arthralgias, low limb joints and periarticular tissues were involved most frequently. The differences were: monoarthritis, elbow and shoulder joints, muscles lesions occurred more frequently in LA; polyarthritis, arthritis of hand and foot joints, talalgia were more common in RA. RA ran more actively, joint syndrome more frequently gave rise to fever. Prevalence of chlamydial infection in LA was close to that in RA. LA may run as RA, is frequently combined with Chlamydia trachomatis infection.
本文介绍了17例莱姆关节炎（LA）和28例反应性关节炎（RA）的临床和实验室对比特征。LA和RA患者在年龄和性别上存在差异。LA在蜱叮咬后出现，随后伴有游走性红斑或感染症状。RA患者无上述症状。LA患者的关节炎与神经莱姆病的典型症状相关。LA和RA的关节综合征表现相似：关节炎之前先有关节痛，下肢关节和关节周围组织最常受累。不同之处在于：LA中，单关节炎、肘关节和肩关节、肌肉病变更常见；RA中，多关节炎、手足关节关节炎、足跟痛更常见。RA进展更活跃，关节综合征更常引起发热。LA中衣原体感染的患病率与RA相近。LA可能表现为RA，且常与沙眼衣原体感染合并。
