Gutowska-Grzegorczyk G, Michalak-Wiejak H
Klinika Reumatologii Wieku Rozwojowego Instytutu Reumatologii w Warszawie.
Pediatr Pol. 1995 Mar;70(3):263-7.
A 17-year-old male patient with cystic fibrosis, advanced lung disease and finger clubbings presented symmetrical chronic arthritis of the knee and ankle joints of unknown origin. Hypertrophic osteoarthropathy diagnosed on the basis of the classic clinical features and anamnestic data was documented by the presence of periostosis of the tubular bones on radiographs. The considerably increased life expectancy of CF patients seems to mean the expansion of the list of diseases to be excluded when diagnosing JCA.
一名17岁男性囊性纤维化患者,患有晚期肺部疾病并伴有杵状指,出现了病因不明的双侧膝关节和踝关节对称性慢性关节炎。根据典型临床特征和既往病史诊断为肥厚性骨关节病,X线片显示管状骨骨膜增生证实了这一诊断。囊性纤维化患者预期寿命的显著延长似乎意味着在诊断幼年特发性关节炎时需要排除的疾病清单有所扩大。