患有良性急性儿童肌肉炎 (BACM) 患者的特征
Tarik Jarkoc1, Adisa Cengic1, Velma Selmanovic1
1Pediatric Clinic, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Materia socio-medica
|July 3, 2025
概括
良性急性儿童肌炎 (BACM) 是病毒性URTI的一种罕见并发症,在儿童中表现为小腿疼痛和行走困难. 在这项研究中,B型流感病毒是最常见的原因.
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 类风湿病学 类风湿病学
背景情况:
- 良性急性儿童肌肉炎 (BACM) 是病毒性上呼吸道感染 (URTI) 的罕见并发症.
- 它通常在冬季表现为急性双侧小腿疼痛和行走困难,前面是URTI症状.
- BACM与肌肉酶的升高有关,通常是白血病,但正常的炎症标志物.
研究的目的:
- 定义BACM患者的人口,临床和实验室特征.
- 确定与BACM发展相关的特定病毒病因.
主要方法:
- 从2023年10月到2024年4月,对20名BACM患者的医疗病历进行了回顾性审查.
- 数据收集包括人口统计,临床和实验室发现.
- 使用Microsoft Excel 2013进行的统计分析.
主要成果:
- 观察到男性占主导地位 (75%),平均年龄为8.36岁;大多数病例发生在冬季 (60%).
- 常见的症状包括双侧小腿疼痛 (100%),行走困难 (90%),以及发烧 (100%).
- 发现了肌酸激酶 (CK) 水平升高 (中位数为3779U/L) 和白血病 (70%). 在75%的病例中,B型流感病毒被发现.
结论:
- BACM虽然很少见,但会引起严重的痛苦,并呈现出严重的特定症状和升高的CK水平.
- 在患有URTI症状,小腿疼痛和行走困难的儿童中,应引起临床怀疑.
- BACM是一种自我限制的疾病,通常在没有并发症的情况下消失.
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