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作者报道3例以多发性关节炎为主要或唯一临床表现的急性乙型肝炎患者。例1为28岁女性,发病前3个月曾有与可疑乙型肝炎患者性交史。临床表现为几乎所有四肢关节均疼痛、僵硬,并见有左膝关节、两踝关节滑膜炎。化验检查AST(门冬氨酸氨基转换酶)32g Iu/L,胆红素9mmol/L,HBsAg阳性。发病15天后,黄疸发生,关节痛解除。十周后,HBsAg阴性,抗HBc出现。例2为35岁男性,以颈、背关节疼性强直发病,几天后波及四肢多个关节。化验见AST增高,HBsAg阳性。4周后关节症状自发改善,抗HBc出现。例3为30岁男
The authors report three patients with multiple arthritis as the primary or only clinical manifestation of acute hepatitis B patients. Case 1 was a 28-year-old woman who had intercourse with a suspected hepatitis B patient three months prior to onset. Clinical manifestations of pain in almost all limbs and joints, stiffness, and see the left knee, two ankle synovitis. Laboratory tests AST (aspartate aminotransferase) 32gIu / L, bilirubin 9mmol / L, HBsAg positive. 15 days after onset, jaundice, joint pain relief. Ten weeks later, HBsAg was negative and anti-HBc appeared. Case 2 was a 35-year-old man with an onset of tonic rigidity of the neck and dorsal joint that spread to multiple joints of the extremities after a few days. AST increased AST test, HBsAg positive. 4 weeks after the joint symptoms spontaneously improved, anti-HBc appeared. Example 3 is a 30-year-old male