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[风湿病学中跛行患者的特征]

[Characteristics of limping patients in Rheumatology].

作者信息

Murias S, Remesal A, Quiles M J, Merino R

机构信息

Sección de Reumatología Pediátrica, Hospital Universitario La Paz, Madrid, España.

出版信息

An Pediatr (Barc). 2012 May;76(5):290-3. doi: 10.1016/j.anpedi.2011.10.011. Epub 2011 Dec 24.

Abstract

INTRODUCTION

Limping is a frequent reason for consultation. Our aim is to describe the characteristics of patients who limp and are evaluated in Rheumatology.

MATERIAL AND METHODS

Cross-sectional study from October 2009 to June 2010. Variables included: epidemiological data, clinical symptoms and laboratory and imaging tests.

RESULTS

A total of 95 patients were studied and classified into four groups according to their diagnosis, inflammatory 22%, infectious 17%, transient hip synovitis 13%, and miscellaneous 48%. There were differences between groups in age (P<0.0001) and arthritis (P<0.0001). In this population, the probability of an infectious/inflammatory limp fulfils the criteria "less than 3 years and fever" was 79% and reached 100% if it was also associated with arthritis.

CONCLUSIONS

Clinical evaluation and in particular, age, fever and arthritis seem to be the most relevant data in differentiating infectious/inflammation diagnosis in the child who limps.

摘要

引言

跛行是常见的就诊原因。我们的目的是描述在风湿病科接受评估的跛行患者的特征。

材料与方法

2009年10月至2010年6月的横断面研究。变量包括:流行病学数据、临床症状以及实验室和影像学检查。

结果

共研究了95例患者,并根据诊断将其分为四组,炎症性占22%,感染性占17%,暂时性髋关节滑膜炎占13%,其他占48%。各组在年龄(P<0.0001)和关节炎(P<0.0001)方面存在差异。在该人群中,感染性/炎症性跛行符合“小于3岁且发热”标准的概率为79%,如果还伴有关节炎则达到100%。

结论

临床评估,尤其是年龄、发热和关节炎,似乎是区分跛行儿童感染性/炎症性诊断的最相关数据。

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