青春期埃索诺菲尔膜炎:一个单一的中心病例系列
Leigh A Stubbs1, Oluwaseun Ogunbona2,3, Emily Beil4
1Department of Pediatrics, Division of Rheumatology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA.
Pediatric rheumatology online journal
|February 23, 2024
概括
在儿童中,酸性膜炎 (EF) 可以呈现为胀和硬化,而不会引起皮肤变化. 祈祷标志可能有助于早期诊断青少年EF,可能防止长期残疾.
科学领域:
- 类风湿病学 类风湿病学
- 儿童自身免疫性疾病 儿童自身免疫性疾病
- 罕见疾病 罕见疾病
背景情况:
- 乙酸性膜炎 (EF) 是一种罕见的疾病,在成年人中具有确定的诊断标准.
- 对于儿科EF的数据有限,因此需要对其在儿童中的独特呈现和特征进行研究.
研究的目的:
- 描述儿科队列中酸性带炎的临床特征,诊断和治疗.
- 与成人病例相比,确定青少年EF的潜在差异.
主要方法:
- 对六名被诊断患有EF的儿科患者 (年龄<18岁) 的病历进行了回顾性审查.
- 通过临床病史,成像和组织学证实了诊断.
- 纳入标准侧重于儿科患者确诊的EF诊断.
主要成果:
- 该队列主要是女性 (83%) 和非西班牙裔白人 (50%),诊断时的年龄从4岁到16岁不等.
- 患者呈现出痛苦的胀,关节限制和积极的祈祷标志;症状持续时间从1到12个月不等.
- 治疗包括皮质类固醇,甲铁和其他药物,如氧化,免疫球蛋白,美酸莫菲提尔,瑞图西马布和托西利祖马布.
结论:
- 青少年EF可以表现为胀和硬化而没有皮肤异常.
- 与成年人不同,没有发现恶性瘤或创伤关联;在这个队列中,系统性参与是最小的.
- 祈祷标志可能是青少年EF的早期指标,有助于预防长期残疾.
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