Topaloğlu R, Kiper N, Göçmen A, Varan B, Saatçi U
Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Turk J Pediatr. 2000 Apr-Jun;42(2):148-50.
Pulmonary hemosiderosis may rarely be associated with juvenile rheumatoid arthritis or can develop during the course of the disease. We present a three-year-old boy with severe iron deficiency anemia (without any pulmonary symptoms) and arthralgia at the time of diagnosis. Two years after the initial diagnosis he developed pulmonary hemosiderosis and pauciarticular type of juvenile rheumatoid arthritis which progressed to seronegative polyarticular juvenile rheumatoid arthritis. He responded very well to prednisolone and was maintained well on low-dose alternate-day prednisolone and naproxen sodium treatment. This is the only case of association of these two diseases in our experience in both the Pediatric Rheumatology and Pediatric Respiratory Diseases Departments.
肺含铁血黄素沉着症可能极少与青少年类风湿性关节炎相关，或在该疾病过程中发生。我们报告一名3岁男孩，诊断时患有严重缺铁性贫血（无任何肺部症状）和关节痛。初次诊断两年后，他出现了肺含铁血黄素沉着症和少关节型青少年类风湿性关节炎，并进展为血清阴性多关节型青少年类风湿性关节炎。他对泼尼松龙反应良好，在小剂量隔日泼尼松龙和萘普生钠治疗下病情维持良好。在我们儿科风湿病科和儿科呼吸疾病科的经验中，这是这两种疾病关联的唯一病例。
