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Human parvovirus arthropathy.

D G White, A D Woolf, P P Mortimer

    Lancet (London, England)
    |February 23, 1985
    PubMed
    Summary
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    Human parvovirus (HPV) infection can cause persistent joint pain in adults, often mimicking other rheumatic conditions. Early synovitis clinics identified HPV as a cause in a significant number of patients presenting with polyarthropathy.

    Area of Science:

    • Rheumatology
    • Virology
    • Immunology

    Background:

    • Early-synovitis clinics diagnose various joint conditions.
    • Viral infections are known triggers for arthropathies.
    • Distinguishing viral arthropathy from other rheumatic diseases can be challenging.

    Purpose of the Study:

    • To investigate the prevalence of recent human parvovirus (HPV) infection in patients presenting with early synovitis.
    • To describe the clinical presentation and duration of arthropathy associated with HPV infection in adults.

    Main Methods:

    • Retrospective analysis of 153 patients attending an early-synovitis clinic.
    • Serological testing for recent HPV infection.
    • Clinical data collection on symptom onset, severity, and duration.

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    Main Results:

    • 19 out of 153 patients (12.4%) showed evidence of recent HPV infection.
    • HPV-infected patients typically presented with sudden-onset, symmetrical peripheral polyarthropathy.
    • Arthropathy persisted for over 2 months in 17 patients and over 4 years in 3 patients.
    • Facial rash, common in children, was absent in most adult cases.

    Conclusions:

    • Recent HPV infection is a significant cause of undifferentiated polyarthropathy in adults presenting to early-synovitis clinics.
    • Adult presentation of HPV arthropathy often lacks typical childhood symptoms like rash, leading to potential misdiagnosis.
    • Persistent joint symptoms warrant consideration of viral etiologies, including HPV.