论文部分内容阅读
Reiter’s综合征(简称RS)是一组以关节炎、尿道炎、眼炎为主要表现的罕见疾病。误诊率高,国内文献报道较少。现将我院1981—1984年收治的5例报告如下。临床资料5例患者中,男3例,女2例。年龄9—35岁,平均17.8岁。病程半年至2年。接诊时,4例曾误诊为急性风湿性关节炎及肾孟肾炎,1例误诊为白塞氏病。确诊RS后均选用强地松及解热镇痛类药物治疗。其临床特点及实验室检查见表1。本组除1例无眼炎症状外,其它均备关节炎、尿道炎及眼炎三联征表现。4例于秋季发病,病前1—2周有菌痢或腹泻史。实验室检查为白细胞总数增高,血沉增快,尿常规及尿培养均有不同程度的改变。讨论病因早在1916年Hans Reiter’s首先发现一名德国军官患本征,分离出了螺旋体,曾称其为关节炎性螺旋体病。不久在欧美相继发
Reiter’s syndrome (RS) is a group of rare diseases characterized by arthritis, urethritis and ophthalmia. Misdiagnosis rate is high, less reported in domestic literature. Now our hospital from 1981 to 1984 admitted five cases are as follows. Clinical data 5 patients, 3 males and 2 females. Ages 9-35 years old, average 17.8 years old. Course of six months to two years. At the time of admissions, 4 cases had been misdiagnosed as acute rheumatoid arthritis and nephritis, one case was misdiagnosed as Behcet’s disease. RS were selected after the diagnosis of prednisone and antipyretic analgesic drugs. The clinical features and laboratory tests in Table 1. In addition to 1 case of no symptoms of ophthalmia, the other with arthritis, urethritis and ophthalmia triple sign performance. 4 cases of onset in the fall, 1-2 weeks before the disease have bacillary dysentery or diarrhea history. Laboratory tests for the total number of leukocytes, erythrocyte sedimentation rate, urine and urine culture have varying degrees of change. DISCUSSION Etiology As early as 1916, Hans Reiter’s first discovered a German officer suffering from an intrinsic, isolated spirochete, which he described as an arthritic spirochete. Soon in Europe and the United States have made