儿科风湿病学的实验室检测。

Laboratory testing in pediatric rheumatology.

机构信息

Division of Pediatric Rheumatology, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY 10467, USA.

出版信息

Pediatr Clin North Am. 2012 Apr;59(2):263-84. doi: 10.1016/j.pcl.2012.03.008.

DOI:10.1016/j.pcl.2012.03.008

PMID:22560570

Abstract

In children, laboratory evaluations can assist in the screening of patients for inflammatory disorders, confirm diagnoses, allow for monitoring of disease activity and response to therapy, and suggest prognoses and risk of morbidities associated with rheumatic diseases. This review provides an overview of the usefulness and interpretation of both the commonly ordered tests ordered by the general pediatrician as well as those frequently used in the pediatric rheumatology clinic for diagnosis and disease monitoring. Studies discussed include the complete blood count, acute phase reactants, autoantibodies, serum complement, urinalysis, streptococcal antibody tests, and commonly used genetic studies.

摘要

在儿童中，实验室评估有助于筛选出患有炎症性疾病的患者，确诊疾病，监测疾病活动和治疗反应，并提示与风湿性疾病相关的预后和发病风险。本篇综述概述了普通儿科医生常规开单的检查以及儿科风湿病学诊室常用的检查在诊断和疾病监测方面的作用和解读。讨论的研究包括全血细胞计数、急性期反应物、自身抗体、血清补体、尿液分析、链球菌抗体检测以及常用的遗传研究。