附着点炎相关关节炎的临床特征.pdfVIP

2003 114111 Chin J Pediatr, November 2003, Vol41, No. 11 835 李崇巍 胡坚 皮士红 ( ERA) 2002 8~ 11 12 ERA, ILAR (JIA) ERA 12 , 11 , 1 4~ 16, 105 ,8 10( 83%) (AS) 1 ,3 9 11 , 7 CT , 1 AS 10 , 1 3 , 2 , 1C C 4 42 3 B19 DNA, 1 IgM( + ) , LA-B27 3 4 , 2 ERA , ; , Clinical characteristics of children with enthesitis related arthritis LI Chong-wei, H U Jian, PI Shi-hong Group of Rheumatology and Immunology , Dep artment of Internal Medi ine , Tianj in Childrens H osp ital , Tianj in 300074, China Abstract Obj ective To study clinical characteristics of childrenwith enthesitis related arthritis (ERA) Methods Twelve patients fulfilling the international league of associations for rheumatolgy ( ILAR) criteria for classification of juvenile idiopathic arthritis (JIA) and ERA were referred to our department between August and November, 2002Their gender, age, family history, clinical manifestations, imaging data, laboratory data and treatment regimens were analyzed retrospectivelyResults Of the 12 patients, 11 were male, only one was female; their age rangedfrom 4to 16 years, and the median agewas 105 yearsTen (83%) of the patientswere older than eight yearsAmong their first degree relatives, one had definite ankylosing spondylitis (AS), and 3 presented with ahistory of inflammatory low back painEnthesitis occurred in9Synovitis occurred in 11, most of which were oligoarthritis, predominantly affecting large joints of the lower limbs in an asymmetric pattern Seven patients underwent CT scan, and only one had erosions of the sacroiliac joints to achieve a diagnosis of juvenile ASTen had fever at the onset, and one had a history of diarrhea preceding the symptoms of arthritisU