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贝赫特病在儿童中的心脏参与:来自土耳其的单中心研究
Meryem Beyazal1, Cansu Çetin Şenturk2, Sultan Nilay Yoğun3
1Pediatric Cardiology Department, Children Hospital, Ankara Bilkent City Hospital, 1604 th Street, No: 9, 06800, Çankaya, Ankara, Turkey. drmeryemce@hotmail.com.
European journal of pediatrics
|May 12, 2025
概括
儿童在贝塞特病中心脏参与是罕见的,膜炎和心脏内血栓是最常见的. 年龄较小,ESR和血小板升高,以及结节性红血可能表明血栓的风险较高.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 儿童心脏病学 儿童心脏病学
- 内部医学 内部医学
背景情况:
- 贝切特病 (BD) 是一种罕见的多系统性炎症性疾病.
- 心脏参与,虽然不常见,但可以表现为心脏内血栓,膜衰竭和心肌梗塞.
研究的目的:
- 描述心脏参与儿科贝塞特病的特征.
- 为了确定心脏并发症的预测因素,特别是心脏内血栓.
- 调查性对BD及其儿童心脏表现的影响.
主要方法:
- 对被诊断患有贝塞特病的儿科患者 (18岁以下) 进行回顾性描述性分析研究.
- 从电子医疗记录中收集的数据,包括临床,实验室,心电图和心声回声图的发现.
- 分析了90名患有贝塞特病的儿科患者.
主要成果:
- 在14% (14/90) 的患者中检测到心脏参与,膜炎是最常见的表现.
- 心内血栓发生在4.3% (4/90) 的患者中.
- 心脏内血栓的可能性较高与年龄较小,红细胞沉积率 (ESR) 升高和血小板数量增加有关.
- 结节性红斑显著增加了心内血栓 (OR 13) 的风险.
结论:
- 膜炎和心内血栓是儿科人口中贝切特病的主要心脏表现.
- 临床和实验室标志物,如年龄较小,ESR和PLT升高,以及红斑结节的存在,对于早期检测心内血栓至关重要.
- 性行为没有显著影响儿科贝切特病的心脏参与.
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