以关节炎为首发表现的儿童结核病5例分析  

Arthritis as the initial manifestation in children with tuberculosis :clinical analysis of five cases

作　　者：郭翼红[1] 俞海国[1] 李娟[1] 张雅媛[1] GUO Yihong;YU Haiguo;LI Juan;ZHANG Yayuan(Department of Rheumatism and Immunology, Children’s Hospital of Nanjing Medical University, Nanjing 210008, Jiangsu, China)

机构地区：[1]南京医科大学附属儿童医院风湿免疫科,江苏南京210008

出　　处：《临床儿科杂志》2017年第5期363-365,共3页Journal of Clinical Pediatrics

摘　　要：目的探讨以关节炎为首发表现的儿童结核病的诊治。方法回顾分析5例关节结核病患儿的临床资料。结果患儿均为男性,年龄(8.5±2.9)岁;均以关节症状就诊,病程长短不一,最长者3年,4例外院诊断为类风湿性关节炎并治疗;2例有结核接触史,2例有骨质破坏,1例伴有病理性骨折。结论关节结核病易误诊为幼年特发性关节炎,须注意鉴别诊断。Objective To explore the diagnosis and treatment of five children with tuberculosis with arthritis as the initialmanifestation.Methods The clinical features,laboratory tests and imaging manifestation of5children with joint tuberculosiswere retrospectively analyzed.Results The course of disease was different.All the five patients were males(mean age8.5±2.9years old)and suffered from articular symptoms as initial feature.Four of them were diagnosed and treated as rheumatoid arthritisby other hospitals for up to three years,two patients have tuberculosis contact history,and another two patients were foundwith bone destruction,and one patient has pathologic fracture.Conclusions Tuberculosis is easily misdiagnosed as juvenileidiopathic arthritis,which deserves attention from a pediatric rheumatology physician.

关 键 词：关节炎 结核病 儿童 

分 类 号：R529.9[医药卫生—内科学]