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儿童不明原因发热:诊断难点

Fever of unknown origin in childhood: difficulties in diagnosis.

作者信息

Martin K, Davies E G, Axford J S

机构信息

Academic Rheumatology Group, St. George's Hospital Medical School, London, United Kingdom.

出版信息

Ann Rheum Dis. 1994 Jul;53(7):429-33. doi: 10.1136/ard.53.7.429.

DOI:10.1136/ard.53.7.429
PMID:7944613
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1005364/
Abstract

We have described a child with systemic onset juvenile chronic arthritis who presented initially with fever of unknown origin. Treatment of a presumed infection led to a severe allergic response with Stevens-Johnson syndrome, renal failure and DIC. This reaction obscured the features of the underlying disease and delayed the diagnosis.

摘要

我们描述了一名患有全身型幼年慢性关节炎的儿童,其最初表现为不明原因发热。对疑似感染的治疗导致了严重的过敏反应,出现史蒂文斯-约翰逊综合征、肾衰竭和弥散性血管内凝血。这种反应掩盖了潜在疾病的特征并延误了诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b3/1005364/0cacf4917812/annrheumd00495-0002-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b3/1005364/0cacf4917812/annrheumd00495-0002-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57b3/1005364/0cacf4917812/annrheumd00495-0002-a.jpg

相似文献

1
Fever of unknown origin in childhood: difficulties in diagnosis.儿童不明原因发热:诊断难点
Ann Rheum Dis. 1994 Jul;53(7):429-33. doi: 10.1136/ard.53.7.429.
2
[Adult Still's disease: two case reports and its diagnosis in fever of unknown origin].
Nihon Naika Gakkai Zasshi. 1986 Jan;75(1):62-8. doi: 10.2169/naika.75.62.
3
[Case of juvenile rheumatoid arthritis presenting as fever of unknown origin and positive diagnosis established after reaching adulthood].[以不明原因发热为表现的幼年型类风湿关节炎病例及成年后确诊]
Ryumachi. 1983 Jun;23(3):147-54.
4
Case 29-2021: A 12-Month-Old Boy with Fever and Developmental Regression.
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5
Target lesions on the lips: childhood herpes simplex associated with erythema multiforme mimics Stevens-Johnson syndrome.唇部的靶形损害:与多形红斑相关的儿童单纯疱疹酷似史蒂文斯-约翰逊综合征。
J Am Acad Dermatol. 1997 Nov;37(5 Pt 2):848-50. doi: 10.1016/s0190-9622(97)80009-6.
6
[Juvenile rheumatoid arthritis of a systemic form in a young infant].[一名幼儿的全身型幼年类风湿关节炎]
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7
Pitfalls in the diagnosis of juvenile rheumatoid arthritis.青少年类风湿关节炎诊断中的陷阱。
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9
[Still's disease of adults. A review of 19 cases. Comparison with 25 cases of juvenile Still's disease. Its role in fever of unknown origin].
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本文引用的文献

1
Differences between the Fever of Still's Disease and that of Rheumatic Fever.斯蒂尔病发热与风湿热发热的区别。
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Glycosylation of alpha 1-acid glycoprotein in systemic onset juvenile rheumatoid arthritis and acute bacterial infection: value in differential diagnosis.
全身型幼年类风湿关节炎和急性细菌感染中α1-酸性糖蛋白的糖基化:在鉴别诊断中的价值
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6
C-reactive protein in juvenile chronic arthritis: an indicator of disease activity and possibly amyloidosis.青少年慢性关节炎中的C反应蛋白:疾病活动及可能的淀粉样变性的一个指标。
Ann Rheum Dis. 1982 Jun;41(3):259-62. doi: 10.1136/ard.41.3.259.
7
Pulmonary manifestations of juvenile rheumatoid arthritis. A report of eight cases and review.青少年类风湿关节炎的肺部表现。8例报告及文献复习。
Clin Chest Med. 1980 Sep;1(3):361-74.
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Echocardiographic detection of early cardiac involvement in juvenile rheumatoid arthritis.
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Disseminated intravascular coagulation complicating systemic juvenile chronic arthritis ("Still's disease").弥散性血管内凝血并发系统性幼年慢性关节炎(“斯蒂尔病”)。
Clin Rheumatol. 1983 Dec;2(4):415-8. doi: 10.1007/BF02041564.
10
Consumption coagulopathy associated with systemic juvenile rheumatoid arthritis.与全身型幼年类风湿关节炎相关的消耗性凝血病。
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