儿童痢疾型Reiter综合征一例报告
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摘要
Reiter综合征是以关节炎、尿道炎和结膜炎三联征为临床特征的一种特殊类型的反应性关节炎。根据前驱感染的不同分为性传播型和痢疾型。该病儿童少见,临床医生认识不足,易误诊、漏诊。本文回顾性分析总结了1例20个月的女童感染细菌性痢疾后导致Reiter综合征的发病特点、临床表现、治疗及转归,以提高对本病的认识。
Reiter's syndrome is a special type of reactive arthritis characterized by the triad of arthritis, urethritis and conjunctivitis. According to the different types of precursor infections, they can be divided into sexually transmitted and dysenteric types. Children with this disease are rare, and clinicians are not well aware of it and are prone to misdiagnosis and missed diagnosis. This paper retrospectively analyzed the pathogenic characteristics, clinical manifestations, treatment and outcome of Reiter's syndrome in a 20-month-old girl infected with bacillary dysentery to improve the understanding of the disease.
Reiter's syndrome is a special type of reactive arthritis characterized by the triad of arthritis, urethritis and conjunctivitis. According to the different types of precursor infections, they can be divided into sexually transmitted and dysenteric types. Children with this disease are rare, and clinicians are not well aware of it and are prone to misdiagnosis and missed diagnosis. This paper retrospectively analyzed the pathogenic characteristics, clinical manifestations, treatment and outcome of Reiter's syndrome in a 20-month-old girl infected with bacillary dysentery to improve the understanding of the disease.
引文
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[4]热孜万·沙德尔,刘芳珍.小儿Reiter综合征8例分析[J].临床儿科杂志,2010,28(11):1052-1053. Reziwan Shadeer,Liu FZ.Analysis of 8 cases of Reiter’s syndrome[J]. J Clin Pediatr,2010,28(11):1052-1053. doi:10.3969/j.issn.1000-3606.2010.11.014.
[2] Suresh PS. Bilateral disciform keratitis in Reiter′s syndrome[J].Indian J Ophthalmol,2016,64(9):685-687. doi:10.4103/0301-4738.97088.
[3]李崇巍,马继军,尹晶,等.儿童赖特综合征22例临床分析[J].中华儿科杂志,2010,48(3):212-215. Li CW,Ma JJ,Yin J,et al.Reiter′s syndrome in children:a clinical analysis of 22 cases[J].Chin J Pediatr,2010,48(3):212-215. doi:10.3760/cma. j.issn.0578-1310.2010.03.013.
[4]热孜万·沙德尔,刘芳珍.小儿Reiter综合征8例分析[J].临床儿科杂志,2010,28(11):1052-1053. Reziwan Shadeer,Liu FZ.Analysis of 8 cases of Reiter’s syndrome[J]. J Clin Pediatr,2010,28(11):1052-1053. doi:10.3969/j.issn.1000-3606.2010.11.014.