Unsinn K M, Fischer H
Universitäts-Kinderklinik Innsbruck, Osterreich.
Padiatr Padol. 1992;27(4):105-7.
A case of a ten years old boy with recurrent fever and abdominal pain starting at the age of five years is reported. Later the attacks were accompanied by chest pain. There were only indifferent changes in laboratory examination. Neither a wide range of antibiotics, nor appendectomy and tonsillectomy prevented the boys symptoms. The diagnose was established after five years by a positive Metaraminol test, that precipitated a disease-like attack. The therapeutic use of colchicine-salicylate reduced the severity and frequency of attacks in out patient. In agreement with other authors it should be emphasized, that in general the benefit of colchicine outweighs possible side effects of a long term therapy also in children.
报告了一例10岁男孩的病例,该男孩自5岁起反复发热和腹痛。后来发作时伴有胸痛。实验室检查仅有不明显的变化。广泛使用抗生素、进行阑尾切除术和扁桃体切除术均未能阻止该男孩的症状。5年后通过阳性间羟胺试验确诊,该试验引发了类似疾病的发作。秋水仙碱 - 水杨酸盐的治疗性使用降低了门诊患者发作的严重程度和频率。与其他作者一致的是,应该强调,总体而言,秋水仙碱的益处超过了长期治疗在儿童中可能产生的副作用。