以多发动脉血管病变为首发表现的儿童白塞病1例  

A case of childhood Behcet′s disease with multiple arterial vascular lesions as the first manifestation

作　　者：王莲[1] 马爱玲[2] 张惠[3] 马立燕[1] 赖建铭[4] Wang Lian;Ma Ailing;Zhang Hui;Ma Liyan;Lai Jianming(Department of Pediatrics,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Department of Pathology,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Department of Ultrasound,General Hospital of Ningxia Medical University,Yinchuan 750004,China;Department of Rheumatology and Immunology,Children′s Hospital Capital Institute of Pediatrics,Beijing 100020,China)

机构地区：[1]宁夏医科大学总医院儿科,银川750004 [2]宁夏医科大学总医院病理科,银川750004 [3]宁夏医科大学总医院超声科,银川750004 [4]首都儿科研究所附属儿童医院风湿免疫科,北京100020

出　　处：《中华儿科杂志》2024年第5期476-477,共2页Chinese Journal of Pediatrics

基　　金：宁夏回族自治区重点研发计划(2023BEG03004)。

摘　　要：患儿女,11岁3月龄,因反复下肢疼痛3个月入院,病程期间出现口腔溃疡、眼部溃疡及便血现象。血管彩色多普勒超声示左侧锁骨下动脉近心段管壁增厚,下肢动脉彩色多普勒超声示双侧股动脉局部管壁增厚,双侧胫后动脉中远段重度狭窄伴节段性闭塞,双侧胫前动脉狭窄可能。电子结肠镜检查示回肠末端、盲肠及乙状结肠、直肠黏膜血水肿,散在多发糜烂和浅溃疡形成。给予醋酸泼尼松片及环磷酰胺,3周后双下肢疼痛缓解,可正常行走,足部溃疡逐渐好转,随访1年后全身血管超声均未见异常。

关 键 词：醋酸泼尼松片 双下肢疼痛 管壁增厚 双侧股动脉 胫后动脉 足部溃疡 白塞病 血管超声 

分 类 号：R725[医药卫生—儿科]