摘要
目的探讨儿童型强直性脊柱炎(JAS)的临床表现及早期诊断方法.方法对24例JAS 进行前瞻性分析及随访研究.结果24例患者中,男性22例,女性2例,发病年龄8～15岁,平均12.5岁,63%为12～15岁.63%以外周关节病为首发症状,25%以关节受累发病,仅2例(9%)以腰痛为首发症状.就诊时11例(46%)符合修订的AS纽约标准,21例(88%)符合汕头AS诊断标准.另3例(13%)经2年随访满足汕头AS诊断标准.结论90%左右JAS以外周关节或髋关节受累为首发症状.2001年汕头AS诊断标准对JAS诊断的敏感性较修订的纽约标准高.
Objective To study the clinical features and methods of early diagnosis of juvenile ankylosing spondylitis(JAS). Methods Twenty-four cases with JAS were prospectively analyzed and followed up. Results Among these 24 cases, ratio of male to female was 11∶1.The onset age was 8 to 15 years (mean 12 years). 63% cases aged 12~15 years. 63% cases had peripheral arthritis, 25% hips involved and only 2 patients (9%) had low back pain at onset . Eleven cases (46%) fulfilled modified New York diagnostic criteria for AS and 21 cases (88%) fulfilled the Shantou diagnostic criteria for AS. Additional 3 cases (13%) fulfilled the Shantou diagnostic criteria for AS after 2 years follow-up. Conclusion 90% cases with JAS has peripheral arthritis and hip involvement at onset. The Shantou diagnostic criteria for AS has higher sensitivity than modified New York diagnostic criteria for AS.
出处
《中华风湿病学杂志》
CAS
CSCD
2004年第8期479-481,共3页
Chinese Journal of Rheumatology
