Van Gundy E T, Kaufman S S, Danford D A, Pilley M D, Perry D A
Department of Pediatrics, Creighton University School of Medicine, Omaha, NE 68114.
J Rheumatol. 1993 Dec;20(12):2140-2.
We describe a 7-year-old child who developed right knee arthritis unresponsive to nonsteroidal anti-inflammatory drug therapy. Additional rheumatologic disorders including pleuropericardial effusion with tamponade supervened before the recognition of Crohn's disease involving the colon. Suppression of all sites of inflammation resulted from corticosteroid therapy. Aspects of diagnosis and treatment of these extraintestinal components of inflammatory bowel disease are discussed.
我们描述了一名7岁儿童，其出现右膝关节炎，对非甾体类抗炎药治疗无反应。在确诊累及结肠的克罗恩病之前，又出现了包括伴有心脏压塞的胸膜心包积液在内的其他风湿性疾病。皮质类固醇治疗使所有炎症部位得到了控制。本文讨论了炎症性肠病这些肠外表现的诊断和治疗方面。
