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儿童无创伤性跛行时不可漏诊的病因。

A not to be missed cause in a child with atraumatic limp.

作者信息

Boo W H, Lee P Y

机构信息

MD Universiti Putra Malaysia 43400 Serdang, Selangor Malaysia Email:

MBBS, MMed Family Medicine Universiti Putra Malaysia 43400 Serdang, Selangor Malaysia Email:

出版信息

Malays Fam Physician. 2019 Dec 31;14(3):68-70. eCollection 2019.

Abstract

Children with musculoskeletal symptoms are commonly seen by general practitioners (GPs). Those that present with atraumatic limp pose a particular diagnostic challenge. Although uncommon, Perthes disease (PD) is an important cause of atraumatic limp in children and may result in debilitating consequences if missed. We put forward a case of delayed diagnosis of PD in a child, thus highlighting the need for a greater index of suspicion among GPs in approaching any child with a limp.

摘要

患有肌肉骨骼症状的儿童在全科医生(GP)处很常见。那些表现为无创伤性跛行的儿童尤其具有诊断挑战性。虽然罕见,但佩特兹病(PD)是儿童无创伤性跛行的一个重要原因,如果漏诊可能会导致严重后果。我们提出了一例儿童佩特兹病延迟诊断的病例,从而强调了全科医生在接诊任何跛行儿童时需要提高怀疑指数。

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本文引用的文献

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Recognition and nursing management of children with non-traumatic limp.
Emerg Nurse. 2018 Mar 9;25(10):24-30. doi: 10.7748/en.2018.e1722.
2
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J Paediatr Child Health. 2017 Nov;53(11):1077-1085. doi: 10.1111/jpc.13756.
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The child with joint pain in primary care.基层医疗中出现关节疼痛的儿童。
Best Pract Res Clin Rheumatol. 2014 Dec;28(6):888-906. doi: 10.1016/j.berh.2015.04.008. Epub 2015 May 23.
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The limping child.跛行儿童。
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Perthes disease in a 2-year-old child.一名2岁儿童的佩特兹病。
BMJ Case Rep. 2015 Mar 2;2015:bcr2014206731. doi: 10.1136/bcr-2014-206731.
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