关键词: Giardia Infectious disease Reactive arthritis Rheumatology Systematic review

Mesh : Child Adolescent Adult Humans Arthritis, Reactive / diagnosis etiology drug therapy Giardiasis / complications diagnosis drug therapy Knee Joint Elbow Joint Ankle Joint

来  源:   DOI:10.1016/j.semarthrit.2022.152094

Abstract:
The aim of this study was to systematically review the clinical and paraclinical findings in patients with reactive arthritis (ReA) caused by giardiasis.
In this study, papers describing ReA in patients with giardiasis were found after searching in international databases including MEDLINE/PubMed, Web of Science, Scopus, and ScienceDirect up to 2021. Google Scholar was also searched to find more articles.
Finally, 16 studies met the inclusion criteria with reporting 115 patients, ranging in age from 19 months to 49 years. This disease was more reported in children and adolescents than adults. The most frequently involved joints with arthritis were the knee and ankle followed by the hip, wrist, elbow, shoulder, axial skeleton, metatarsophalangeal, and proximal interphalangeal. The most common extra-articular symptoms included diarrhea, allergic symptoms, and abdominal pain.
The signs and symptoms of ReA caused by giardiasis can be various, from moderate to severe manifestations. Also, they can be similar to some other diseases, so it is recommended that physicians and specialists have more knowledge about this disease to treat patients with a correct diagnosis.
摘要:
这项研究的目的是系统地回顾由贾第鞭毛虫病引起的反应性关节炎(ReA)患者的临床和临床发现。
在这项研究中,在包括MEDLINE/PubMed在内的国际数据库中搜索后发现了描述贾第鞭毛虫病患者中ReA的论文,WebofScience,Scopus,和科学直接到2021年。还搜索了GoogleScholar以查找更多文章。
最后,16项研究符合纳入标准,报告115例患者,年龄从19个月到49岁不等。这种疾病在儿童和青少年中的报道多于成人。关节炎最常见的关节是膝盖和脚踝,其次是髋关节,手腕,弯头,肩膀,轴向骨架,meta趾,和近端指间。最常见的关节外症状包括腹泻,过敏症状,和腹痛。
贾第鞭毛虫病引起的ReA的体征和症状可能多种多样,从中度到重度表现。此外,它们可能与其他一些疾病相似,因此,建议医生和专家对这种疾病有更多的了解,以便正确诊断患者。
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