Hussein A
Kinderklinik, Medizinischen Hochschule, Hannover.
Z Rheumatol. 1990 May-Jun;49(3):125-33.
Musculoskeletal complaints comprise about 7% of all pediatric office visits. The differential diagnosis of these complaints is very extensive. A great diagnostic aid offer quality, distribution and temporal course of the pain of joints, bone and muscles, of an objectively detectable arthritis, and especially of the numerous manifestations of other organ systems: Constitutional signs, fever, skin, mucous membranes, eyes, nervous system, heart, vasculature, lungs, digestive system and urogenital system. Combinations of these often early manifestations are crucial to determine the disease category, which is urgent for further diagnostic measures and for therapy: Bacterial, rheumatic, collagen-vascular, traumatic, orthopedic, and neoplastic disease. They are as important for making the final diagnosis and for the early recognition of later manifestations and complications. To achieve an optimal diagnostic efficiency, laboratory investigations should be carefully selected according to the clinical findings and diagnoses. A few regular investigations are valuable for the assessment of disease activity and therapy, and others for the early detection of initially asymptomatic manifestations.
肌肉骨骼疾病占儿科门诊就诊病例的7%左右。这些疾病的鉴别诊断范围非常广泛。关节、骨骼和肌肉疼痛的性质、分布和病程，客观可检测到的关节炎，尤其是其他器官系统的众多表现：全身症状、发热、皮肤、黏膜、眼睛、神经系统、心脏、血管系统、肺部、消化系统和泌尿生殖系统，对诊断有很大帮助。这些往往较早出现的表现的组合对于确定疾病类别至关重要，这对于进一步的诊断措施和治疗非常紧迫：细菌性、风湿性、胶原血管性、创伤性、骨科和肿瘤性疾病。它们对于做出最终诊断以及早期识别后期表现和并发症也很重要。为了实现最佳诊断效率，应根据临床发现和诊断仔细选择实验室检查。一些常规检查对于评估疾病活动度和治疗很有价值，其他检查则用于早期发现最初无症状的表现。
