BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 八月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在危险因素
  • 持续 6 周以上
  • 关节痛
  • 关节肿胀
全部具体信息

其他诊断因素

  • 晨僵
  • 跛行步态
  • 活动受限
  • 皮疹
全部具体信息

危险因素

  • 女性
  • 人类白细胞抗原 (HLA) 多态性
  • 6 岁以下
  • 自身免疫性疾病家族史
全部具体信息

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 红细胞沉降率 (ESR)
  • C 反应蛋白 (CRP)
  • 抗核抗体 (ANA)
全部具体信息

需要考虑的检查

  • 抗环瓜氨酸肽（抗 CCP）抗体
  • 沙眼衣原体检查
  • 铁蛋白水平
  • 受累关节的超声检查
全部具体信息

治疗流程

急性

早期治疗

疾病持续状态

长期治疗

贡献者

作者 查看所有

Consultant Paediatric Rheumatologist

Department of Paediatric Rheumatology

Bristol Royal Hospital for Children

Bristol

UK

利益冲突披露
JC declares that she has no competing interests.

Consultant Rheumatologist

ONE Centre for Rheumatology and Genetics

Vadodara

Gujarat

India

利益冲突披露
RS declares that he has no competing interests.

Dr Jacqui Clinch and Dr Ripal Shah would like to gratefully acknowledge Dr Eve Bassett, Dr Sheila Angeles-Han, and Dr Sampath Prahalad, the previous contributors to this monograph. EB declares that she has no competing interests. SAH and SP are authors of a number of references cited in this monograph. SP is the recipient of research funding from the National Institute of Health and Arthritis Foundation.

同行评议专家 查看所有

Clinical Director

Division of Pediatric Rheumatology

Children's Hospital of Pittsburgh

Pittsburgh

PA

利益冲突披露
PR declares that he has no competing interests.

Director

Division of Rheumatology

Professor of Pediatrics

Department of Pediatrics

Medical University of South Carolina

Charleston

SC

利益冲突披露
MP is an author of a number of references cited in this monograph. He is a consultant to Pfizer Pharmaceuticals as the chairman of the Expert Advisory Panel to review toxicity of celecoxib. He has been a visiting professor from the American College of Rheumatology, and from the American Academy of Pediatrics.

Professor of Paediatric Rheumatology

University College London

London

UK

利益冲突披露
Not disclosed.

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