青少年特发性关节炎继发于骨质疏松和喉部受累:1例报告

R. Oliveira, A. Nau, Rafaela Assmann, M. Bandeira
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摘要

目的:幼年特发性关节炎(JIA)是一种全身性炎症,是儿童期最常见的慢性风湿病。在并发症中,患者可能因糖皮质激素治疗或疾病演变而导致骨质疏松。另一罕见的并发症是累及喉软骨,可表现为喘鸣或呼吸衰竭。本文报告一例伴有骨质疏松和喉部表现的JIA。病例报告:女性,15岁,12年前诊断为JIA,治疗不规范,发展为严重和限制性疾病。病人有喘鸣和呼吸困难。喉镜检查显示受累的杓状软骨需要气管切开术。此外,患者被诊断为骨质疏松症和双侧关节错位,需要双侧全髋关节置换术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Osteoporosis and laryngeal involvement secondary to juvenile idiopathic arthritis: case report
OBJECTIVE: Juvenile idiopathic arthritis (JIA) is a systemic inflammatory condition and the most common chronic rheumatological disease in childhood. Among complications, patients may have osteoporosis induced by treatment with glucocorticoids or the evolution of the disease. Another rare complication is the involvement of laryngeal cartilage, which may present with stridor or respiratory failure. The purpose of this report is to present a case of JIA with osteoporosis and laryngeal manifestations. CASE REPORT: Female, 15 years old, diagnosed with JIA 12 years ago with irregular treatment that evolved with severe and limiting disease. The patient had stridor and dyspnoea. Laryngoscopy showed involvement of arytenoid cartilage requiring tracheostomy. In addition, the patient was diagnosed with osteoporosis and bilateral coxarthrosis, requiring bilateral total hip arthroplasty.
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