[与人类免疫缺陷病毒感染(HIV)相关的风湿病表现]。

J F Brantus, P J Meunier
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引用次数: 0

摘要

由于血清阳性患者的数量不断增加,出现与hiv感染相关的关节表现的受试者数量不断增加。这种关联的病理生理机制尚不清楚。最近的文献综述表明,脊柱炎是hiv阳性患者最常见的关节表现。脓毒性关节炎很少见,但很严重。由于hiv感染引起的免疫抑制使得使用免疫抑制剂变得困难,局部治疗成为首选。关节表现可以发现以前未被诊断的血清阳性。这些数据强烈建议将HIV血清学检查纳入病因不明的每个关节表现的病因学筛查,即使患者没有危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Rheumatic manifestations associated with human immunodeficiency virus infection (HIV)].

The number of subjects presenting articular manifestations associated with HIV-infection is constantly on increase due to the growing number of seropositive patients. The pathophysiological mechanism of this association is still unknown. A recent review of the literature has shown that spondyloarthritis are the most frequently observed articular manifestations in HIV-positive patients. Septic arthritis are rare but severe. The immunodepression due to HIV-infection makes it difficult to use immunosuppressors and renders local therapeutics preferable. The articular manifestations may allow to discover seropositivity that has not been diagnosed before. These data strongly suggest to include serological examination for HIV in the etiological screening for every articular manifestation of unknown origin, even if the patient presents no risk factors.

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