Arthrites et ténosynovites vénériennes

Pierre Gazeau , Dewi Guellec
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Abstract

Sexually transmitted infections (STIs) have been on the rise for about twenty years in France and around the world. They are often asymptomatic and yet are responsible for significant genital and systemic morbidity. Although infrequent, the rheumatic manifestations of venereal diseases, in particular arthritis and tenosynovitis, have been known for a long time. They are generally of two types: infectious directly linked to the pathogen (N. gonorrhoeae, syphilis) and more frequently reactive, indirectly linked to the pathogen, which may be necessary for inflammatory rheumatism (C. trachomatis, arthropod-borne viruses, mycoplasmas). Broadly speaking, many other STIs can cause rheumatic manifestations (viral hepatitis, meningococcus). Knowledge of the epidemiology, clinical, diagnostic and therapeutic techniques of STIs is important for rheumatology practice.

性病关节炎和腱鞘炎
近20年来,性传播感染在法国和世界各地一直呈上升趋势。他们往往是无症状的,但负责显著生殖器和全身发病率。虽然不常见,但性病的风湿病表现,特别是关节炎和腱鞘炎,早已为人所知。它们一般有两种类型:与病原体直接相关的传染性疾病(淋病奈瑟菌、梅毒)和更常见的与病原体间接相关的反应性疾病(沙眼奈瑟菌、节肢动物传播的病毒、支原体),这可能是炎症性风湿病所必需的。一般来说,许多其他性传播感染可引起风湿病表现(病毒性肝炎、脑膜炎球菌)。性传播感染的流行病学,临床,诊断和治疗技术的知识对风湿病学的实践是重要的。
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