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青少年骨髓灰质炎:一个印度的观点
Meenal Garg1, Shilpa D Kulkarni1, Anaita Udwadia Hegde1
1Department of Pediatric Neurosciences, Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, India.
印度儿童的青少年骨髓灰质炎 (JMG) 呈现严重,通常有普遍症状和高血清阳性. 早期诊断和治疗,包括潜在的甲状腺切除术,可以改善这种自身免疫神经肌肉结合障碍的结果.
科学领域:
- 儿科神经学 儿科神经学
- 自身免疫性疾病 自身免疫性疾病
- 神经肌肉结节疾病 神经肌肉结节疾病
背景情况:
- 肌痛性骨髓灰质炎 (MG) 是一种自身免疫性神经肌肉结合障碍,具有儿科亚型,包括青少年肌痛性骨髓灰质炎 (JMG).
- 与成人MG相比,JMG表现出明显的特征,并且在各个族群之间有所不同.
- 关于JMG患病率和特征,特别是在印度儿科人口中,数据有限.
研究的目的:
- 调查印度儿童青少年肌痛性肌痛症的人口和临床特征.
- 分析印度JMG患者的治疗方式和结果.
- 为了解决印度关于JMG的数据缺口.
主要方法:
- 在孟买一家三级医院从2005年至2015年被诊断患有骨髓质疏松症的儿科患者的回顾性图表分析.
- 纳入标准涵盖了所有被诊断为儿童肌痛神经衰竭病例.
- 收集的数据包括人口统计,临床表现,调查,住院,治疗和结果.
主要成果:
- 十五名儿童被诊断患有JMG,呈现为青春期前队列 (平均年龄3.7岁).
- 在9名患者中观察到普遍症状,而6名患者呈现眼部症状.
- 观察到高血清阳性率为73%,治疗包括皮里多斯蒂格,类固醇和免疫抑制;四名患者接受了乳腺切除术.
结论:
- 印度儿童的青少年肌痛性肌痛症的特点是严重性和高血清阳性.
- 适当及时的诊断和治疗对于实现更好的患者结果至关重要.
- 胸膜切除显示了JMG管理的潜力,但需要进一步调查.
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