分子影像学杂志2025，Vol.48Issue(12)：1515-1520,6.DOI:10.12122/j.issn.1674-4500.2025.12.08
基孔肯雅热患者急性期关节临床特征及超声影像学表现
Clinical features and ultrasound imaging of acute joint symptoms in Chikungunya fever patients
摘要
Abstract
Objective To investigate the articular clinical features and ultrasonographic changes in patients with acute Chikungunya fever(CHIKF).Methods This prospective study included 26 patients with CHIKF confirmed by nucleic acid testing and admitted to our hospital from August 8th to 31st,2025.All patients underwent musculoskeletal ultrasound examination of the limb joints and surrounding soft tissues The examination included small joints of the hands and feet,as well as the wrists,elbows,shoulders,ankles,knees,and hips,covering 52 joint sites in total.Results Ultrasonographic abnormalities were observed as follows:effusion in the small joints of the feet(100%,52/52)and synovitis(42.3%,22/52);effusion in the small joints of the hands(100%,52/52)and synovitis(38.5%,20/52);ankle joint effusion(34.6%,18/52)and synovitis(25%,13/52);wrist joint effusion(30.8%,16/52)and synovitis(25%,13/52);knee joint effusion(13.5%,7/52)and synovitis(7.7%,4/52);elbow joint effusion(19.2%,10/52)and synovitis(3.8%,2/52).No significant effusion or synovial hyperplasia was detected in the shoulder or hip joints.Additionally,the following findings were noted:finger tenosynovitis(3.8%,2/52),medial calf panniculitis(38.5%,20/52),soleus myositis in one case(1.9%,1/52),axillary lymphadenopathy(65.4%,34/52),and inguinal lymphadenopathy(86.5%,45/52).Conclusion Musculoskeletal ultrasound is effective in detecting joint alterations caused by CHIKF and can clearly visualize pathological changes in periarticular soft tissues,providing an objective and reliable basis for the diagnosis of articular involvement during the acute CHIKF.关键词
基孔肯雅热/关节/肌骨超声/半定量评分Key words
Chikungunya fever/joints/myofascial ultrasound/semi-quantitative scoring引用本文复制引用
韩小华,秦涛,何超洪,唐奭麒,欧阳景聪,麦蔼欣,邓梦思,谢倩如,张广俊,李云峰,李红..基孔肯雅热患者急性期关节临床特征及超声影像学表现[J].分子影像学杂志,2025,48(12):1515-1520,6.基金项目
佛山市自筹经费类科技创新项目(基孔肯雅热应急科技攻关专项)(JYSD2025012) （基孔肯雅热应急科技攻关专项）
南方医科大学第八附属医院院内科研启动项目(JK2025005) （JK2025005）
