Steinson Amanda Catherine, Mubashar Tayyib, Janzen Alison Frances, Poulton Dawn, Paul Siba Prosad
Trainee Physician Associate, Peninsula Medical School, University of Plymouth.
Year 5 Medical Student, Medical School, University of Exeter.
Br J Nurs. 2019 May 9;28(9):560-564. doi: 10.12968/bjon.2019.28.9.560.
Cases of children presenting with limb or joint pain are relatively common and are due mainly to benign conditions. Early diagnosis will help reduce unnecessary invasive investigations so, although a relatively rare condition, benign acute childhood myositis (BACM), which presents with acute lower limb pain and an isolated rise in creatine kinase, should be considered. BACM is characterised by an infiltration of viruses into calf muscle fibres, which may cause a subsequent inflammatory response leading to calf-muscle pain. Symptomatic and supportive management, along with explanation and reassurance, is all that is required in managing this condition. This article discusses the management of a 10-year-old boy with a classical presentation of BACM, alongside differentials and management for clinician consideration.
出现肢体或关节疼痛的儿童病例相对常见，主要由良性疾病引起。早期诊断有助于减少不必要的侵入性检查，因此，尽管良性急性儿童肌炎（BACM）相对罕见，但它表现为急性下肢疼痛和肌酸激酶单独升高，应予以考虑。BACM的特征是病毒侵入小腿肌肉纤维，这可能导致随后的炎症反应，进而引起小腿肌肉疼痛。对症和支持治疗，以及解释和安抚，是处理这种情况所需的全部措施。本文讨论了一名典型表现为BACM的10岁男孩的治疗，以及鉴别诊断和治疗方法，供临床医生参考。
