期刊
INTERNAL MEDICINE
卷 56, 期 10, 页码 1239-1242出版社
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.56.7888
关键词
HLA-B27; reactive arthritis; Yersinia enterocolitica enteritis
We report a case of reactive arthritis (ReA) triggered by Yersinia enterocolitica enteritis. A 24-year-old Japanese man developed polyarthritis in the lower limbs. Two weeks prior to these symptoms, he noted diarrhea, right lower abdominal pain and a fever. Y. enterocolitica was not isolated from a stool culture; however, he was diagnosed with ReA based on the colonoscopic findings of a high anti-Y. enterocolitica antibody titer and HLA-B27 antigen positivity. Following treatment with methotrexate and steroids, his arthritis improved. This is the first reported Japanese case of ReA in the English literature after a gastrointestinal infection caused by Y. enterocolitica.
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