儿童慢性跛行，除了幼年特发性关节炎还有什么：病例系列研究。
Chronic limping in childhood, what else other than juvenile idiopathic arthritis: a case series.
机构信息
University of Trieste, Trieste, Italy.
Institute for Maternal and Child Health IRCCS "Burlo Garofolo" (IRCCS), Trieste, Italy.
出版信息
Pediatr Rheumatol Online J. 2023 Nov 24;21(1):142. doi: 10.1186/s12969-023-00927-3.
BACKGROUND
Limping is a common clinical symptom in childhood; different clinical conditions may lead to limping and the diagnosis of the underlying cause may often be a challenge for the pediatrician.
CASE PRESENTATION
We describe the clinical manifestations, radiological pictures and disease course of other causes of limping in childhood, through a case series of seven cases and a brief discussion of each disease.
CONCLUSIONS
although trauma is the most common cause of acute limping, when there is no history of traumatic events and the limping has a chronic course, Juvenile Idiopathic Arthritis is usually the most likely clinical diagnosis. However, other some rare conditions should be taken into account if JIA is not confirmed or if it presents with atypical clinical picture.
背景
跛行是儿童期常见的临床症状；不同的临床情况可能导致跛行，儿科医生通常难以诊断其根本原因。
病例介绍
我们通过 7 个病例系列和对每种疾病的简要讨论，描述了儿童跛行的其他病因的临床表现、影像学图片和疾病过程。
结论
虽然创伤是急性跛行最常见的原因，但当没有创伤事件史且跛行呈慢性病程时，通常最有可能的临床诊断是幼年特发性关节炎。然而，如果 JIA 未得到确认或表现出非典型临床表现，应考虑其他一些罕见情况。
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