Finn S M, Rowland M, Lawlor F, Kinsella W, Chan L, Byrne O, O'Mahony O, Bourke B
Children's Research Centre, Our Lady's Hospital, Conway Institute for Biomolecular and Biomedical Research, and Department of Paediatrics, University College Dublin, Ireland.
Arch Dis Child. 2006 Jul;91(7):604-5. doi: 10.1136/adc.2005.086512. Epub 2006 Apr 4.
Cutaneous spider naevi are commonly considered to be a clinical sign of chronic liver disease. Little is known about their occurrence in children.
To evaluate the occurrence of spider naevi in children with and without liver disease.
The presence of spider naevi was investigated in 460 children, 34 of whom had chronic liver disease.
Of children without liver involvement, 38% had at least one spider naevus. The prevalence of spider naevi increased with age. Of control patients aged 5 to 15 years, 2.5% had more than five spiders present. Although eight of 10 children with cirrhosis had at least one spider naevus, only four of 34 children with chronic liver disease had five or more spiders present. Most spiders were on the hands and very few were >5 mm in size.
Children with liver disease rarely have large numbers of spider naevi. Although the finding of five or more spider naevi is more common in liver disease, many normal children also have one or more of these lesions.
皮肤蜘蛛痣通常被认为是慢性肝病的临床体征。关于其在儿童中的发生情况知之甚少。
评估患肝病和未患肝病儿童中蜘蛛痣的发生情况。
对460名儿童进行了蜘蛛痣检查，其中34名患有慢性肝病。
在无肝脏受累的儿童中，38%至少有一个蜘蛛痣。蜘蛛痣的患病率随年龄增长而增加。在5至15岁的对照患者中，2.5%有五个以上的蜘蛛痣。虽然10名肝硬化儿童中有8名至少有一个蜘蛛痣，但34名慢性肝病儿童中只有4名有五个或更多蜘蛛痣。大多数蜘蛛痣位于手部，且很少有直径大于5毫米的。
患肝病的儿童很少有大量蜘蛛痣。虽然发现五个或更多蜘蛛痣在肝病中更常见，但许多正常儿童也有一个或多个此类病变。
