Manifestações articulares nas viroses exantemáticas Joint complaints in exanthematic diseases

• Published in: Revista da Sociedade Brasileira de Medicina Tropical
• Main Authors: Solange Artimos de Oliveira, Luís A.B. Camacho, Lílian Rachel Bettini, Daniele Guerreiro Fernandes, Nathalia A.C. Gouvea, Roberto A.Q. Barros, Sérgio Setúbal, Marilda Mendonça Siqueira
• Format: Article in Journal/Newspaper
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT) 1999
• Subjects: Viroses exantemáticas; Artralgia; Artrite; Exantema; Exanthematic diseases; Arthralgia; Arthritis; Exanthema; Arctic medicine. Tropical medicine; RC955-962; Arctic
• Online Access: https://doi.org/10.1590/S0037-86821999000200002; https://doaj.org/article/24876ed21df34ffcb62dff66a422adfd

A freqüência de manifestações articulares foi avaliada em 251 pacientes com diagnóstico clínico e laboratorial (detecção de IgM por ensaio imunoenzimático) de virose exantemática. As artropatias (artralgia e/ou artrite) foram mais observadas nos casos de dengue (49%) e de rubéola (38,2%) do que naqueles com parvovirose humana (30%) e sarampo (28,1%). Com exceção do sarampo, as artropatias predominaram nos adultos (315 anos de idade), sendo tal diferença estatisticamente significativa. A ocorrência maior de artropatias em adultos foi mais evidente nos pacientes com parvovirose (75%), rubéola (65%) e dengue (57,7%) do que naqueles com sarampo (31%). As queixas articulares também predominaram nos pacientes do sexo feminino para todas as viroses avaliadas. Os resultados encontrados demonstram o freqüente acometimento articular nas doenças estudadas, e indicam a necessidade de comprovação laboratorial para o diagnóstico diferencial entre elas. The frequency of arthropathy was evaluated in 251 patients with clinical and serological diagnosis (specific IgM detection by enzyme immunoassay) of exanthematic disease. Arthropathy (arthralgia and/or arthritis) was more frequent in dengue fever (49%) and rubella (38.2%) cases than in human parvovirus (30%) and measles (28.1%) cases. Except for measles cases, joint complaints prevailed in adults (315 years of age) and this difference was significant. The higher frequency of arthropathy in adults was more evident in human parvovirus (75%), rubella (65%) and dengue fever (57.7%) cases than in measles cases (31%). Arthropathy was also more frequent in females for all rash diseases studied. The results of this study showed the high occurrence of joint complaints in the diseases described here and the importance of laboratory confirmation for their differential diagnosis.