婴儿发病的青少年异常性关节炎 - 一个多中心的回顾性研究
Timmy Strauss1,2, Jens Klotsche3, Daniel Windschall4,5
1Department of Pediatrics, Faculty of Medicine and University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany.
Rheumatology (Oxford, England)
|November 5, 2025
概括
婴儿发病的青少年异常性关节炎 (JIA) 是罕见的,通常是晚期诊断的. 早期识别和治疗对于患有JIA的婴儿有更好的结果至关重要.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 免疫学 免疫学 免疫学
- 临床儿科 临床儿科
背景情况:
- 婴儿发病的青少年异常性关节炎 (JIA) 异常罕见,带来了重大诊断挑战.
- 早期诊断和干预对于管理JIA和预防长期并发症至关重要.
研究的目的:
- 在婴儿中描述JIA,重点关注早期症状,诊断延迟,疾病类别和治疗结果.
- 为了比较婴儿发病的JIA与幼儿发病的JIA的呈现和进展.
主要方法:
- 从国家儿科风湿病学数据库 (NPRD) 来对90名在德国被诊断患有JIA的婴儿 (2011-2020年) 进行回顾性分析.
- 预期的后续数据补充了一个专门的婴儿发作的JIA模块.
- 与1-6岁的JIA患者 (幼儿开始的JIA) 的匹配比较.
主要成果:
- 与幼儿相比,婴儿更频繁地被诊断出患有系统性JIA.
- 从症状出现到第一次风湿病学咨询的时间在婴儿 (3.1个月) 比小孩 (2.3个月) 显著更长.
- 尽管最初的疾病活性相似,但在随访时,婴儿的疾病活性显著增加.
结论:
- 晚期诊断婴儿发作的JIA延迟了适当的护理,突出了需要提高认识的必要性.
- 早期识别婴儿非传染性关节炎是必不可少的.
- 及时开始治疗对于减轻婴儿中JIA的潜在长期后果至关重要.
相关概念视频
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
470
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...
470
Autoimmune Disorders
1.4K
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
1.4K
Genome-wide Association Studies-GWAS
15.3K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
15.3K
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
3.1K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
3.1K
Rheumatic Heart Disease I: Introduction
417
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
417
Inflammatory Bowel Disease II: Crohn's Disease
943
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
943


