Lopez-Benitez Jorge M, Miller Laurie C, Schaller Jane G, Moreno Luis M, de Canata Miriam Espinola
The Floating Hospital for Children at Tufts, New England Medical Center, Tufts University School of Medicine, Boston, MA 02111, USA.
Pediatr Infect Dis J. 2008 Feb;27(2):181-2. doi: 10.1097/INF.0b013e31815abf70.
We reviewed 53 patients referred to a pediatric rheumatology clinic in Asuncion, Paraguay. In 6 patients, a diagnosis of rheumatic fever was confirmed and in 47 patients other clinically significant diagnoses were made. Eighteen children had nonspecific findings and did not develop a rheumatologic condition on follow-up. Overdiagnosis of rheumatic fever can falsely inflate incidence and prevalence statistics and clinically significant diagnoses may be overlooked.
我们回顾了转诊至巴拉圭亚松森一家儿科风湿病诊所的53例患者。其中6例确诊为风湿热，47例确诊为其他具有临床意义的疾病。18名儿童有非特异性表现，随访中未发展为风湿性疾病。风湿热的过度诊断可能会错误地抬高发病率和患病率统计数据，而具有临床意义的诊断可能会被忽视。
