Truckenbrodt H, Häfner R
Rheumakinderklinik Garmisch-Partenkirchen.
Z Rheumatol. 1990 Mar-Apr;49(2):88-94.
We report on 48 children, 27 boys and 21 girls, with juvenile psoriatic arthritis. Onset during childhood differs in many ways from adult psoriatic arthritis. However, we detected a striking similarity to the subgroups of juvenile chronic arthritis in our patients. Pauciarticular onset was most prominent. Eight children presented with an early onset pauciarthritis, 33 patients showed a pauciarthritis type II with onset during school age; eight of them developed spondylarthritis with sacroiliitis. A seronegative polyarthritis was seen in six children. One girl suffered from seropositive disease. The diagnosis of psoriatic arthritis in childhood is often delayed since arthritis precedes psoriasis in many patients. In the absence of skin lesions the typical nail changes and a family history of psoriasis could suggest the diagnosis, especially in patients with an asymmetric arthritis and dactylitis.
我们报告了48例儿童青少年银屑病关节炎患者，其中27例男孩，21例女孩。儿童期发病在许多方面与成人银屑病关节炎不同。然而，我们在患者中发现了与青少年慢性关节炎亚组的显著相似性。少关节起病最为突出。8名儿童表现为早发性少关节炎，33例患者表现为学龄期起病的II型少关节炎；其中8例发展为伴有骶髂关节炎的脊柱关节炎。6名儿童出现血清阴性多关节炎。1名女孩患有血清阳性疾病。儿童银屑病关节炎的诊断常常延迟，因为在许多患者中关节炎先于银屑病出现。在没有皮肤病变的情况下，典型的指甲改变和银屑病家族史可能提示诊断，特别是在患有不对称关节炎和指（趾）炎的患者中。
