García-Consuegra Molina J, Merino Muñoz R, Fernández Revuelta S, Soler Balda C
Unidad de Reumatología Pediátrica, Hospital Infantil La Paz, Madrid.
An Esp Pediatr. 1998 May;48(5):489-94.
The objective of this study was to describe the clinical characteristics of children with spondyloarthropathies diagnosed in our unit.
We analyzed the patients with SEA syndrome, undifferentiated spondyloarthropathy, psoriatic arthritis, arthritis associated with inflammatory bowel disease and reactive arthritis with onset symptoms before the age of 16.
Forty patients were diagnoses as suffering from spondyloarthropathy (29 boys and 11 girls). Eight presented a SEA syndrome, 8 undifferentiated spondyloarthropathy, 8 psoriatic arthritis, 6 arthritis associated with inflammatory bowel disease and 10 with reactive arthritis. No patient met ankylosing spondylitis criteria. In ten children the initial diagnosis was chronic juvenile arthritis. The articular disease had a relapsing and remitting course in one third of the patients. Almost 50% had only one episode and 7 patients had one prolonged course. In general, the functional outcome was good.
Juvenile spondyloarthropathies are a group of rheumatic diseases with common clinical characteristics and differ from chronic juvenile arthritis. Their early recognition is important with regard to treatment and prognosis.
本研究的目的是描述在我们科室诊断出的脊柱关节病患儿的临床特征。
我们分析了16岁之前起病的SEA综合征、未分化脊柱关节病、银屑病关节炎、炎性肠病相关关节炎和反应性关节炎患者。
40例患者被诊断为脊柱关节病（29例男孩和11例女孩）。8例表现为SEA综合征，8例为未分化脊柱关节病，8例为银屑病关节炎，6例为炎性肠病相关关节炎，10例为反应性关节炎。无患者符合强直性脊柱炎标准。10名儿童最初诊断为慢性幼年特发性关节炎。三分之一的患者关节疾病呈复发缓解病程。近50%的患者仅有一次发作，7例患者病程迁延。总体而言，功能预后良好。
幼年脊柱关节病是一组具有共同临床特征的风湿性疾病，与慢性幼年特发性关节炎不同。它们的早期识别对治疗和预后很重要。
