Egilmez Zeliha, Turgut Selin Turan, Icagasioglu Afitap, Bicakci Irem
Department of Physical Medicine and Rehabilitation, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Istanbul, Turkey.
Physical Medicine and Rehabilitation Clinics, Red Crescent Society Private Commodity Exchange Hospital, Konya, Turkey.
North Clin Istanb. 2016 Apr 4;3(2):131-134. doi: 10.14744/nci.2015.33043. eCollection 2016.
Joint complaints in childhood are seen frequently and differential diagnosis can be difficult. Juvenile idiopathic arthritis (JIA) is the most common rheumatological disease of childhood. It involves peripheral joint arthritis, chronic synovitis, and extra-articular manifestations. Accurate diagnosis can take a long time and sometimes multiple diagnoses are used while following the patient until a final diagnosis can be reached. Arthritis may be triggered by trauma and confused with other diseases like complex regional pain syndrome (CRPS), in which trauma plays a role in the etiology. In the present case, ankle pain in an 8-year-old girl was misdiagnosed as CRPS.
儿童关节问题很常见,鉴别诊断可能很困难。幼年特发性关节炎(JIA)是儿童最常见的风湿性疾病。它涉及外周关节关节炎、慢性滑膜炎和关节外表现。准确诊断可能需要很长时间,有时在对患者进行随访直到最终诊断出来之前会使用多种诊断方法。关节炎可能由创伤引发,并与其他疾病如复杂性区域疼痛综合征(CRPS)相混淆,其中创伤在病因中起作用。在本病例中,一名8岁女孩的踝关节疼痛被误诊为CRPS。