Arroyo I L, Barron K S, Brewer E J
Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030.
Arthritis Rheum. 1988 Mar;31(3):447-51. doi: 10.1002/art.1780310320.
Two cases of spinal cord compression secondary to steroid-induced epidural lipomatosis in systemic juvenile rheumatoid arthritis (JRA) patients are reported. This complication of prolonged corticosteroid therapy has not been described previously in children with JRA. Epidural lipomatosis should be considered in the differential diagnosis of JRA patients receiving high-dose and/or prolonged corticosteroid therapy who present with neurologic signs and symptoms referable to the spinal cord.
报告了2例系统性幼年类风湿性关节炎（JRA）患者因类固醇诱导的硬膜外脂肪增多症继发脊髓压迫的病例。这种长期皮质类固醇治疗的并发症此前尚未在JRA儿童中描述过。对于接受高剂量和/或长期皮质类固醇治疗且出现脊髓相关神经体征和症状的JRA患者，鉴别诊断时应考虑硬膜外脂肪增多症。
