Boo W H, Lee P Y
MD Universiti Putra Malaysia 43400 Serdang, Selangor Malaysia Email:
MBBS, MMed Family Medicine Universiti Putra Malaysia 43400 Serdang, Selangor Malaysia Email:
Malays Fam Physician. 2019 Dec 31;14(3):68-70. eCollection 2019.
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.
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。