青春期性异常性关节炎中的青春期障碍:系统性综述
Soumaya Boussaid1,2, Sonia Rekik1,2, Hanene Lassoued Ferjani2,3
1Rheumatology Department, Rabta Hospital, Tunis, Tunisia.
Journal of pediatric endocrinology & metabolism : JPEM
|March 28, 2025
概括
青春期异常性关节炎 (JIA) 经常扰乱青春期,导致受影响儿童的初潮延迟和月经不规则. 诸如JIA亚型和类固醇使用等因素显著影响这些青春期疾病.
科学领域:
- 儿科 儿科 儿科
- 类风湿病学 类风湿病学
- 内分泌学 在内分泌学.
背景情况:
- 青春期异常性关节炎 (JIA) 是一种慢性炎症性疾病,影响16岁以下的儿童.
- 炎症性细胞因子,药物和遗传学都与JIA相关的青春期疾病有关.
- 了解JIA对青春期的影响对于儿科护理至关重要.
研究的目的:
- 系统地审查有关JIA儿童青春期障碍的文献.
- 确定影响JIA患者正常青春期发育中断的因素.
- 阐明JIA和青春期发育之间的关系.
主要方法:
- 通过使用Medline,Google Scholar和Scopus进行了系统的文献审查.
- 搜索发现了4011篇文章,最终根据PRISMA指南包括了11篇.
- 提取和比较了初潮开始,坦纳阶段和青春期迹象的数据.
主要成果:
- 患有JIA的女孩经历了晚期初潮 (12.013.39岁) 和月经不规则.
- 延迟的青春期在多关节性和小关节性JIA亚型中更为普遍.
- 类固醇使用,JIA亚型,疾病持续时间和发病时的年龄是关键影响因素.
结论:
- 青春期障碍在JIA中很常见,特别是在多关节和全身亚型中.
- 早期识别和管理类固醇使用等影响因素,可以缓解青春期中断.
- 需要进一步研究青春期对JIA结果的影响.
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