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幼年脊柱关节病(JSPA)是指16岁以前发病的一组与HLA-B_(27)相关的关节病。现将我们自1992年以来收治的33例诊治体会总结如下。 1 临床资料 33例中男26例,女7例,发病年龄8～16岁。发病前曾患菌痢8例,肠炎9例,尿道炎7例,龟头炎3例,上感6例。多在上述感染性疾病发病后1～2周出现关节症状。受累关节以下肢大关节为主,髋关节6例,膝关节16例,踝关节9例,趾(指)关节2例。单关节受累18例,多关节受累5例。关节病变呈非对称性,游走性差,表现为关节肿胀和关节疼痛。全组病例均无关节畸形。
Juvenile spondyloarthropathy (JSPA) refers to a group of arthropathies associated with HLA-B27 that preceded the age of 16 years. Now we since 1992 admitted to 33 cases of diagnosis and treatment are summarized as follows. 1 clinical data of 33 cases of 26 males and 7 females, the age of onset of 8 to 16 years old. Before the onset of bacillary dysentery in 8 cases, 9 cases of enteritis, urethritis in 7 cases, 3 cases of balanitis, on the flu in 6 cases. More than 1 to 2 weeks after the onset of the above infectious diseases, joint symptoms appear. The affected joints were dominated by the lower limbs, with 6 cases of hip joint, 16 cases of knee joint, 9 cases of ankle joint and 2 cases of toe joint. Single joint involvement in 18 cases, multi-joint involvement in 5 cases. Joint disease was asymmetric, poor walking, manifested as joint swelling and joint pain. All patients had no joint deformity.