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11 岁男孩发生血清病样反应。

Serum sickness like reaction in an 11-year-old boy.

机构信息

Department of Paediatrics, National University of Ireland, Galway, Ireland.:

出版信息

Ir J Med Sci. 2011 Jun;180(2):605-6. doi: 10.1007/s11845-009-0415-4.

DOI:10.1007/s11845-009-0415-4
PMID:22016889
Abstract

INTRODUCTION

We describe the case of an 11 year old Nigerian boy who presented with acute onset of polyarthralgia associated with low grade pyrexia, facial oedema,urticarial rash, pruritis, throat and ear pain.

METHODS

His medical and surgical histories were unremarkable.Twelve days prior to admission he had been treated for acute tonsillitis with penicillin.

CONCLUSION

Serum sickness like reaction was diagnosed and he was treated with analgesia and prednisolone. His symptoms were resolved within 48 h and he was discharged.

摘要

介绍

我们描述了一例 11 岁尼日利亚男孩的病例,他表现为急性多发性关节炎,伴有低热、面部水肿、荨麻疹样皮疹、瘙痒、喉咙和耳部疼痛。

方法

他的内科和外科病史无特殊。在入院前 12 天,他曾因急性扁桃体炎接受青霉素治疗。

结论

诊断为血清病样反应,并给予镇痛和泼尼松龙治疗。他的症状在 48 小时内得到缓解,随后出院。

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本文引用的文献

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A four-year-old boy with fever, rash, and arthritis.一名患有发热、皮疹和关节炎的四岁男孩。
Semin Cutan Med Surg. 2007 Sep;26(3):179-87. doi: 10.1016/j.sder.2007.09.001.
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Cutaneous reactions to drugs in children.儿童药物的皮肤反应。
Pediatrics. 2007 Oct;120(4):e1082-96. doi: 10.1542/peds.2005-2321.
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Childhood serum sickness: a case report.儿童血清病:一例报告
J Microbiol Immunol Infect. 2001 Sep;34(3):220-3.
4
Serum-sickness-like disease is a common cause of acute arthritis in children.血清病样疾病是儿童急性关节炎的常见病因。
Acta Paediatr Scand. 1986 Nov;75(6):964-9. doi: 10.1111/j.1651-2227.1986.tb10324.x.
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Cefaclor-associated serum sickness-like disease: eight cases and review of the literature.头孢克洛相关的血清病样疾病:8例报告及文献复习
Ann Pharmacother. 1992 Jul-Aug;26(7-8):910-4. doi: 10.1177/106002809202600708.