Dinulescu Alexandru, Prejmereanu Ana, Pacurar Daniela, Neagu Oana, Dijmarescu Irina
Pediatrics, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.
Pediatrics, Emergency Hospital for Children "Grigore Alexandrescu", Bucharest, ROU.
Cureus. 2024 Nov 4;16(11):e72985. doi: 10.7759/cureus.72985. eCollection 2024 Nov.
This is a case report of a one-year-and-nine-month-old girl with multiple guttate psoriasis skin lesions, non-traumatic knee arthritis, and no family history of autoimmune diseases. Laboratory tests revealed no suggestive markers of juvenile psoriatic arthritis (JPsA), while the dermatological examination described scaly erythematous lesions with a positive Auspitz sign. The diagnosis was confirmed by a skin biopsy and histopathological examination. The psoriasis lesions were preceded by the onset of arthritis within two weeks. The negative family history, age of onset, clinical presentation, and negative antinuclear antibodies make it a particular case of JPsA.
这是一例关于一名一岁九个月女童的病例报告，该女童患有多发性点滴状银屑病皮肤损害、非创伤性膝关节炎，且无自身免疫性疾病家族史。实验室检查未发现青少年银屑病关节炎（JPsA）的提示性标志物，而皮肤科检查描述为有鳞屑性红斑损害且奥氏征阳性。皮肤活检和组织病理学检查确诊了病情。银屑病损害在关节炎发作后两周内出现。家族史阴性、发病年龄、临床表现以及抗核抗体阴性使其成为JPsA的一个特殊病例。
