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目的 :探讨幼年类风湿性关节炎 (JRA)的临床特点 ,减少误诊误治。方法 :对 2 8例JRA患者进行临床观察 ,并给予非甾体类抗炎药及柳氮磺胺吡啶联合治疗。结果 :入院后 72h时仍误为其它疾患者 12例 ,确诊后经上述治疗 ,7例明显缓解 ,6例全身型患者加用中小剂量激素后缓解 ,另 15例病情反复迁延 ,于 1～ 3个月后渐改善。结论 :JRA与成人类风湿性关节炎的临床表现有明显差异 ,易致误诊误治 ,故应提高对JRA的认识 ,对疑诊患者全面系统检查 ,经治患者应严密随访
Objective: To investigate the clinical features of juvenile rheumatoid arthritis (JRA) and reduce the misdiagnosis and mistreatment. Methods: Twenty-eight patients with JRA were enrolled in the study. Non-steroidal anti-inflammatory drugs and sulfasalazine were also given. Results: After 72 hours of admission, 12 cases were still mistaken for other diseases. After the diagnosis, 7 cases were relieved by the above treatment. Six cases of systemic disease were relieved with medium and small dosage of hormone, and the other 15 cases were prolonged repeatedly. Gradually improve after months. Conclusion: The clinical manifestations of JRA and adult rheumatoid arthritis are significantly different and prone to cause misdiagnosis and mistreatment. Therefore, it is necessary to raise awareness of JRA, to conduct a comprehensive systematic examination of suspected patients and follow-up patients should be closely followed