Terlizzi Vito, Improta Federica, Raia Valeria
Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
J Pediatr Neurosci. 2014 Sep-Dec;9(3):280-2. doi: 10.4103/1817-1745.147595.
Acute muscle pain and walking difficulty are symptoms compatible with both benign and severe degenerative diseases. As a consequence, in some cases invasive tests and hospitalizations are improperly scheduled. We report the case of a 7-year-old child suffering from acute calf pain and abnormal gait following flu-like symptoms. A review of the literature will be helpful to better define differential diagnosis in cases of muscle pain in children. Daily physical examination and urine dipstick are sufficient to confirm the diagnosis of benign acute childhood myositis (BACM) during the acute phase, to promptly detect severe complications and to rule out degenerative diseases. Children with BACM do not require hospitalization, medical interventions or long-term follow-up.
急性肌肉疼痛和行走困难是与良性和严重退行性疾病都相符的症状。因此，在某些情况下，侵入性检查和住院安排不当。我们报告了一名7岁儿童的病例，该儿童在出现类似流感症状后患有急性小腿疼痛和异常步态。回顾文献将有助于更好地明确儿童肌肉疼痛病例的鉴别诊断。在急性期，每日体格检查和尿试纸检查足以确诊良性急性儿童肌炎（BACM），及时发现严重并发症并排除退行性疾病。患有BACM的儿童不需要住院、医学干预或长期随访。
