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本文对1978~1988年10年期间的12例幼年类风湿性关节炎(JRA)误诊情况进行分析。 1 临床资料 1.1 诊断与分型 根据美国抗风湿病协会1987年诊断标准确诊。本组起病年龄均在16岁以下。1个以上关节发炎,具有关节肿胀或积液,以及2种以上下列体征:关节活动受限,关节活动时疼痛或有压痛,关节局部发热。患病时间6周至3个月。 起病方式据最初4~6月临床表现分为:①多关节型:5个和5个以上关节受累4例;②少关节型:4个和4个以下关节受累3例;③全身型:间歇发热、
This article analyzes the misdiagnosis of 12 juvenile rheumatoid arthritis (JRA) during the 10-year period from 1978 to 1988. 1 Clinical data 1.1 Diagnosis and classification According to the American Society of Rheumatology diagnostic criteria in 1987 confirmed. The onset of this group are under the age of 16 years. More than one joint is inflamed, has joint swelling or effusion, and signs of 2 or more of the following: limited joint activity, tenderness or tenderness in joint activity, and local fever in joints. The sick time of 6 weeks to 3 months. According to the initial clinical manifestations of 4 to 6 months are divided into: ① multi-joint type: 5 and 5 or more joint involvement in 4 cases; ② less joint type: 4 and less than 4 joints involved in 3 cases; ③ body type: Intermittent fever