雷特氏徵候羣

Reiter's Syndrome

王萬龍(Wung-Long Wang)；張政彥(Cheng-Yen Chang)；田雨生(Yeu-Sheng Tyan)；程明山(Ming-Shen Chen)；鄧木火(Michael Mu-Huo Teng)；張遵(Tsuen Chang)

雷特氏徵候羣 ； 關節炎 ； 尿道炎 ； 結膜炎 ； Reiter's syndrome ； arthritis ； urethritis ； conjunctivitis

中華放射線醫學雜誌

13卷3期（1988 / 09 / 01）

273 - 278

繁體中文

台北榮民總醫院自1983年1月至1987年12月，經臨床診斷為雷特氏徵候羣、(Reiter's syndrome)患者有33例；其中男性31例，女性2例；平均罹病年齡32.1歲。住院主訴為：關節炎33例(100%)，尿道炎21例(64%)，眼睛發炎19例(58%)，黏膜與皮膚的病變18例(55%)及腹瀉7例(21%)。最常見關節炎部位為：骶腸骨關節(sacroiliac joint)19例(58%)，膝關節19例(58%)及足跟部heel 9例(27%)。 分析所有33例之骨骼關節放射學表徵；有7例(21%)屬無任何放射學異常發現者。除了骶腸骨關節的對稱性(symmetry)稍多外，其餘關節大部份以非對稱性表現。關節腔狹窄及骨質疏鬆(osteoporosis)在本研究中較少見，下肢關節較上肢關節易受侵犯，髖關節則較少受侵犯。

There were 33 cases of Reiter's syndrome clinically diagnosed at Veterans General Hospital from Jan. 1983 to Sep. 1987. The chief complaints in the decreasing order were arthritis 33 cases (100%), urethritis 21 cases (64%), ophthalmitis 19 cases (58%), mucocutaneous lesions 18 cases (55%) and diarrhea 7 cases (21%). The most frequently affected sites are: sacroiliac joints 19 cases (58%), knee joints 19 cases (58%) and heels 9 cases (27%). Considering the X-ray findings of skeletal involvement, only 7 cases (21%) showed no abnormal findings. Joints of the lower extremities with the exception of hip joint were more commonly involved than the upper extremities. Narrowing of joint space and osteoporosis were less prevalent in this study.