[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.
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.
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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