Sauvain M J, Gerber N J
Rheumatologische Universitätsklinik Bern.
Ther Umsch. 1991 Sep;48(9):603-12.
The term juvenile chronic arthritis covers several nosological entities with very different clinical presentation, course and prognosis. This review addresses non-rheumatologists and non-pediatricians. Diagnostic criteria, clinical presentation of the most common nosological subgroups and relevant investigations are spotlighted. Therapeutic guidelines are presented, bearing in mind, that for each child an individual interdisciplinary plan has to be elaborated. This would involve close cooperation between the pediatrician, the pediatric rheumatologist, the family doctor, parents and, if necessary, the physiotherapist, ergotherapist, social worker, ophthalmologist, orthopedic surgeon and school teachers. It is essential that each member of this therapeutic team reports regularly.
青少年慢性关节炎这一术语涵盖了几种临床表现、病程和预后差异很大的疾病实体。本综述面向非风湿病学家和非儿科医生。重点介绍了诊断标准、最常见疾病亚组的临床表现及相关检查。文中给出了治疗指南，并牢记必须为每个孩子制定个性化的跨学科计划。这需要儿科医生、儿科风湿病学家、家庭医生、家长，必要时还需物理治疗师、职业治疗师、社会工作者、眼科医生、整形外科医生和学校教师密切合作。治疗团队的每个成员定期汇报情况至关重要。
