伴有模仿青少年类风湿关节炎的雅库病性关节病的系统性红斑狼疮。

Systemic lupus erythematosus with Jaccoud's arthropathy mimicking juvenile rheumatoid arthritis.

作者信息

Martini A, Ravelli A, Viola S, Burgio R G

机构信息

Department of Pediatrics, University of Pavia, Italy.

出版信息

Arthritis Rheum. 1987 Sep;30(9):1062-4. doi: 10.1002/art.1780300915.

DOI:10.1002/art.1780300915

PMID:3663255

Abstract

We describe a girl who presented at age 5 with objective signs of arthritis and was initially diagnosed as having juvenile rheumatoid arthritis. Over the following years, she developed slowly progressive joint deformities indicative of Jaccoud's arthropathy. When she was 11 years old, symptoms typical of systemic lupus erythematosus appeared, accompanied by anti-DNA antibodies. This case illustrates that in children also, Jaccoud's arthropathy may be a precocious manifestation of systemic lupus erythematosus.

摘要

我们描述了一名5岁女童，她出现了关节炎的客观体征，最初被诊断为幼年类风湿关节炎。在接下来的几年里，她出现了缓慢进展的关节畸形，提示为雅库病性关节病。11岁时，她出现了系统性红斑狼疮的典型症状，并伴有抗DNA抗体。该病例表明，在儿童中，雅库病性关节病也可能是系统性红斑狼疮的早熟表现。