Incomplete Reiter's syndrome: discriminating features and HL-A W27 in diagnosis.
Incomplete Reiter's syndrome: discriminating features and HL-A W27 in diagnosis.
复制标题
不完全赖特综合征：诊断中的鉴别特征和 HL-A W27。
DOI：
10.7326/0003-4819-84-1-8
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发表时间：
1976
影响因子：
39.2
通讯作者：
R. Lordon
中科院分区：
文献类型：
--
作者：
F. Arnett;O. E. McClusky;B. Schacter;R. Lordon
赖特综合征（非特异性尿道炎、结膜炎和关节炎）可单独与关节炎一起出现。然而，还有其他有助于诊断的区别性临床特征。另外，HL-A W27的存在提供了新的诊断辅助。13例患者进行了研究，并支持不完全赖特综合征的概念的有效性。所有患者均以周围关节炎为主诉，无尿道炎或结膜炎。大多数是年轻的白色男子。关节炎是少关节和不对称的，主要累及下肢。10例患者的主要症状为足跟痛，5例伴有其他部位的骨膜炎，8例出现“香肠样足趾”。1例发生皮肤粘膜病变，6例体重明显减轻。只有2人有骶髂关节炎。12年的课程特点是长期性。HL-A W27存在于13个中的12个中。其他数据表明，赖特综合征可能是年轻男性中最常见的炎性关节炎形式之一。
Reiter's syndrome (nonspecific urethritis, conjunctivitis, and arthritis) may present with arthritis alone. There are, however, other discriminating clinical features that contribute to diagnosis. Additionally, the presence of HL-A W27 provides a new diagnostic aid. Thirteen patients were studied and support the validity of the concept of incomplete Reiter's syndrome. Peripheral arthritis was the presenting complaint in all, and none had urethritis or conjunctivitis. The majority were young white men. The arthritis was oligoarticular and asymmetric with lower extremity involvement predominantly. Heel pain was a prominent symptom in 10, with periostitis of other sites in 5, and "sausage digits" in 8. Mucocutaneous lesions occurred in 1 and significant weight loss in 6. Only 2 had sacro-illiitis. Chronicity has characterized the course in 12. HL-A W27 was present in 12 of 13. Additional data suggest that Reiter's syndrome may be one of the most common forms of inflammatory arthritis in young men.