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儿童的迁移性关节炎 - - 对各种诊断的临床线索
Bar Goldberg1,2, Gil Amarilyo2,3, Oded Scheuerman1,2
1Department of Pediatrics B, Schneider Children's Medical Center of Israel, Petah Tikva, Israel.
European journal of pediatrics
|November 14, 2025
概括
儿科移动性关节炎有多种原因,急性风湿性发烧 (ARF) 仅在一半的病例中被诊断出来. 其他疾病,如后感染性关节炎和恶性瘤是重要的差异.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 临床诊断 临床诊断 临床诊断
- 不同诊断的差异诊断.
背景情况:
- 迁移性关节炎通常与急性类风湿性发烧 (ARF) 相关,但可以表明其他疾病.
- 关于儿科迁移性关节炎的文献有限.
研究的目的:
- 为了调查儿科迁移性关节炎的最终诊断.
- 为了帮助诊断,确定区分ARF与其他原因的临床因素.
主要方法:
- 对0-18岁的移动性关节炎患者 (2015-2023) 病历的回顾性审查.
- 在ARF和非ARF组之间对人口,临床和实验室参数进行比较.
主要成果:
- 确定了101名患者;50%被诊断为ARF.
- 其他诊断包括反应性关节炎,后病毒性关节炎,IBD,狼和恶性瘤.
- 拥挤的生活条件和较高的CRP水平与ARF有关.
结论:
- 儿科迁移性关节炎具有广泛的差异诊断,ARF仅在一半的病例中出现.
- 后感染性疾病很常见;恶性瘤是一种罕见但关键的考虑因素.
- 迁移性关节炎带来诊断挑战,需要与ARF进行区分.
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