在青少年异常性关节炎患者中评估关节关节的参与
Asena Pinar Sefer1, Muferet Erguven2,3
1School of Medicine, Division of Pediatric Allergy and Immunology, Recep Tayyip Erdogan University, Rize, Türkiye. asenasefer@gmail.com.
Pediatric rheumatology online journal
|November 26, 2024
概括
青春期异常性关节炎 (JIA) 经常影响关节 (TMJs),通常没有症状. 早期TMJMRI查对于高风险的JIA患者至关重要,以防止慢性变化.
科学领域:
- 类风湿病学 类风湿病学
- 儿科 儿科 儿科
- 放射学 放射学是一门学科.
背景情况:
- 青春期异常性关节炎 (JIA) 是一种普遍存在的慢性炎症性儿童疾病,影响着关节.
- 关节 (TMJ) 的参与在JIA中很常见,但往往无症状,延迟诊断和治疗.
- 早期发现和管理关节干扰对于预防长期并发症至关重要.
研究的目的:
- 确定JIA患者中TMJ参与的频率和风险因素.
- 为指导TMJ参与JIA的早期诊断和治疗策略.
- 确定查高风险JIA患者的潜在指标.
主要方法:
- 在2014年1月至2017年5月期间诊断出41名JIA患者的回顾性分析.
- 纳入标准:定期的随访,可访问的病史,和对比度增强的TMJMRI.
- 通过放射科医生报告的MRI发现评估TMJ参与.
主要成果:
- 在研究的JIA患者中,51.2%检测到TMJ参与.
- 患有关节干扰的患者中有很大一部分 (71.5%) 无症状且患有慢性疾病.
- 关节干扰与多关节发病,早期发病年龄,更长的疾病持续时间,更多的关节干扰,更高的ESR和较差的治疗反应相关.
结论:
- 关节干扰是一种常见的,通常是无症状的JIA并发症,导致早期退行性变化.
- 与对比度增强的TMJ MRI是检测JIA中TMJ参与的黄金标准.
- 定期查高风险的JIA患者是必不可少的,尽管需要进一步的多中心研究来确定特定的风险因素.
相关概念视频
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
7
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
7
01:26Tonsillitis II: Management
103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103
01:07Development of the Limb Synovial Joints
1.3K
Joints form during embryonic development in conjunction with the formation and growth of the associated bones. The embryonic tissue that gives rise to all bones, cartilage, and connective tissues of the body is called mesenchyme.
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
1.3K
01:26Assessment of the Mouth
137
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
137