Hassoon M M, Qandalji B R, Eeg-Olofsson O, Heijazi Z
Department of Paediatrics, Amiri, Kuwait.
Ann Trop Paediatr. 1992;12(3):311-5. doi: 10.1080/02724936.1992.11747590.
Ten children, three girls and seven boys, aged 4-10 years, were admitted with benign acute childhood myositis during spring and winter months (March 1988 to March 1990). They presented with an acute onset of symmetrical calf muscle pain and tenderness, weakness and inability to walk a few days after a flu-like illness. All had raised serum creatine kinase and a normal erythrocyte sedimentation rate, and the majority had low peripheral white blood cell counts with relative lymphocytosis. Serum aspartate aminotransferase, alanine aminotransferase and lactate dehydrogenase were found to be raised in four patients. Virological studies performed in six children gave negative results. Full clinical recovery was achieved within 1-7 days. One child developed a second episode. These ten cases of benign acute childhood myositis are the first to be reported from this region.
1988年3月至1990年3月的冬春季节，10名4至10岁的儿童（3名女孩和7名男孩）因良性急性儿童肌炎入院。他们在患流感样疾病几天后，突然出现双侧小腿肌肉疼痛、压痛、无力及行走困难。所有患儿血清肌酸激酶均升高，红细胞沉降率正常，多数患儿外周血白细胞计数降低伴淋巴细胞相对增多。4例患儿血清天冬氨酸转氨酶、丙氨酸转氨酶和乳酸脱氢酶升高。对6名儿童进行的病毒学研究结果均为阴性。所有患儿在1至7天内完全康复。1名儿童出现了第二次发作。这10例良性急性儿童肌炎是该地区首次报告的病例。
