Zulian Francesco, Sari Marianna, de Filippis Cosimo
Department of Pediatrics, University of Padova, Padova, Italy.
Int J Pediatr Otorhinolaryngol. 2009 Dec;73 Suppl 1:S56-60. doi: 10.1016/S0165-5876(09)70011-4.
Rheumatic diseases represent a group of autoimmune conditions which primarily affect the musculo-skeletal system but can also involve other internal organs such as the auditory and the respiratory systems. Among the rheumatic diseases of children those which present an otolaryngological involvement at disease onset or during their course are essentially juvenile idiopathic arthritis (JIA), Cogan syndrome (CS), relapsing polycondritis (RPC) and Wegener granulomatosis (WG). In this section, we will review the main characteristics of these conditions with the attempt to propose a few elements for an easy differential diagnosis which might help for an early diagnosis and a more appropriate treatment.
风湿性疾病是一组自身免疫性疾病，主要影响肌肉骨骼系统，但也可能累及其他内部器官，如听觉和呼吸系统。在儿童风湿性疾病中，那些在疾病发作时或病程中出现耳鼻喉科受累的疾病主要是幼年特发性关节炎（JIA）、科根综合征（CS）、复发性多软骨炎（RPC）和韦格纳肉芽肿（WG）。在本节中，我们将回顾这些疾病 的主要特征，试图提出一些便于鉴别诊断的要点，这可能有助于早期诊断和更恰当的治疗。
