Abstract
OBJECTIVE--To gain information concerning the association between parvovirus B19 infection and arthritis. METHODS--Blood or synovial fluid, or both, from a total of 77 adult patients with various arthropathies (rheumatoid arthritis 13; mechanical arthropathies 11; crystal induced arthritis 13; idiopathic mono/oligoarthritis 25; suspicion of viral arthritis 15) were tested for the presence of the viral genome and anti-B19 antibodies. B19 DNA in blood and synovial fluid was investigated by nested polymerase chain reaction, and anti-B19 IgM and IgG antibodies were detected in blood by enzyme immunoassay. RESULTS--A recent parvovirus infection was documented by the presence of anti-B19 IgM antibodies in the blood of 13 patients. B19 DNA, together with anti-B19 IgM and IgG antibodies, were detected in the blood of seven patients who had an acute transient arthritis, putatively of viral origin. Viral DNA was detected in a synovial fluid sample and in the blood of one patient with monoarthritis who had an anti-B19 IgG response only. CONCLUSIONS--The prevalence of anti-B19 IgG antibody in these patients with various forms of arthritis (63%) was within the same range as that in the general population (blood donors). However, for the patients with clinical suspicion of viral arthritis, the increased seroprevalence of anti-B19 IgM and the presence of the B19 genome point to an association between human parvovirus infections and acute forms of arthritis.
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- Anderson M. J., Higgins P. G., Davis L. R., Willman J. S., Jones S. E., Kidd I. M., Pattison J. R., Tyrrell D. A. Experimental parvoviral infection in humans. J Infect Dis. 1985 Aug;152(2):257–265. doi: 10.1093/infdis/152.2.257. [DOI] [PubMed] [Google Scholar]
- Cassinotti P., Weitz M., Siegl G. Human parvovirus B19 infections: routine diagnosis by a new nested polymerase chain reaction assay. J Med Virol. 1993 Jul;40(3):228–234. doi: 10.1002/jmv.1890400311. [DOI] [PubMed] [Google Scholar]
- Cohen B. J., Buckley M. M. The prevalence of antibody to human parvovirus B19 in England and Wales. J Med Microbiol. 1988 Feb;25(2):151–153. doi: 10.1099/00222615-25-2-151. [DOI] [PubMed] [Google Scholar]
- Cohen B. J., Mortimer P. P., Pereira M. S. Diagnostic assays with monoclonal antibodies for the human serum parvovirus-like virus (SPLV). J Hyg (Lond) 1983 Aug;91(1):113–130. doi: 10.1017/s0022172400060095. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dijkmans B. A., van Elsacker-Niele A. M., Salimans M. M., van Albada-Kuipers G. A., de Vries E., Weiland H. T. Human parvovirus B19 DNA in synovial fluid. Arthritis Rheum. 1988 Feb;31(2):279–281. doi: 10.1002/art.1780310218. [DOI] [PubMed] [Google Scholar]
- Foto F., Saag K. G., Scharosch L. L., Howard E. J., Naides S. J. Parvovirus B19-specific DNA in bone marrow from B19 arthropathy patients: evidence for B19 virus persistence. J Infect Dis. 1993 Mar;167(3):744–748. doi: 10.1093/infdis/167.3.744. [DOI] [PubMed] [Google Scholar]
- Kandolf R., Kirschner P., Hofschneider P. H., Vischer T. L. Detection of parvovirus in a patient with "reactive arthritis" by in situ hybridization. Clin Rheumatol. 1989 Sep;8(3):398–401. doi: 10.1007/BF02030355. [DOI] [PubMed] [Google Scholar]
- Kurtzman G. J., Cohen B. J., Field A. M., Oseas R., Blaese R. M., Young N. S. Immune response to B19 parvovirus and an antibody defect in persistent viral infection. J Clin Invest. 1989 Oct;84(4):1114–1123. doi: 10.1172/JCI114274. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nocton J. J., Miller L. C., Tucker L. B., Schaller J. G. Human parvovirus B19-associated arthritis in children. J Pediatr. 1993 Feb;122(2):186–190. doi: 10.1016/s0022-3476(06)80111-3. [DOI] [PubMed] [Google Scholar]
- Reid D. M., Reid T. M., Brown T., Rennie J. A., Eastmond C. J. Human parvovirus-associated arthritis: a clinical and laboratory description. Lancet. 1985 Feb 23;1(8426):422–425. doi: 10.1016/s0140-6736(85)91146-8. [DOI] [PubMed] [Google Scholar]
- Shade R. O., Blundell M. C., Cotmore S. F., Tattersall P., Astell C. R. Nucleotide sequence and genome organization of human parvovirus B19 isolated from the serum of a child during aplastic crisis. J Virol. 1986 Jun;58(3):921–936. doi: 10.1128/jvi.58.3.921-936.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- White D. G., Woolf A. D., Mortimer P. P., Cohen B. J., Blake D. R., Bacon P. A. Human parvovirus arthropathy. Lancet. 1985 Feb 23;1(8426):419–421. doi: 10.1016/s0140-6736(85)91145-6. [DOI] [PubMed] [Google Scholar]
- Woolf A. D., Campion G. V., Chishick A., Wise S., Cohen B. J., Klouda P. T., Caul O., Dieppe P. A. Clinical manifestations of human parvovirus B19 in adults. Arch Intern Med. 1989 May;149(5):1153–1156. [PubMed] [Google Scholar]