Bhalla Deeksha, Jana Manisha, Bagri Narendra
Department of Radiodiagnosis, Postgraduate Institute of Child Health, Noida, Uttar Pradesh, India.
Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
Indian J Radiol Imaging. 2024 Aug 26;35(1):99-108. doi: 10.1055/s-0044-1789232. eCollection 2025 Jan.
Rheumatic disorders in children include inflammatory arthritis, inflammatory bone disorders such as chronic nonbacterial osteomyelitis (CNO), connective tissue disorders, and vasculitides (juvenile dermatomyositis, scleroderma). The diagnosis in these children is based on a combination of history, clinical examination, and laboratory investigations. Radiographs play an important role in children with arthritis, who have atypical presentation or for assessment of disease-related damage and differentiation from mimics. Further, radiographs also have an ancillary role in the assessment of musculoskeletal disorders such as dermatomyositis and hemophilia. This review seeks to present a detailed analysis of the specific indications and advantages of radiographs in the situations. Further, a structured reporting format for assessment of radiographs in pediatric rheumatic disorders has also been presented for the reader's reference.
儿童风湿性疾病包括炎性关节炎、炎性骨病（如慢性非细菌性骨髓炎，CNO）、结缔组织病和血管炎（幼年皮肌炎、硬皮病）。这些儿童的诊断基于病史、临床检查和实验室检查的综合判断。X线片在关节炎表现不典型的儿童、评估疾病相关损害以及与类似疾病鉴别诊断中发挥着重要作用。此外，X线片在评估皮肌炎和血友病等肌肉骨骼疾病中也具有辅助作用。本综述旨在详细分析X线片在这些情况下的具体适应证和优势。此外，还为读者提供了一份用于评估儿科风湿性疾病X线片的结构化报告格式以供参考。
