青少年皮肌炎早期诊断的挑战:简要回顾文献和个案研究

S. Mamedova, N. Surkhay
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引用次数: 0

摘要

青少年皮肌炎(JDM)是一种病因不明的自身免疫性、相对罕见的多系统疾病,其晚诊断和晚开始治疗可导致儿童残疾甚至死亡。这种疾病在大多数情况下开始于5-12岁,但可以在更早和更大的年龄表现出来。这种疾病具有明显的临床多态性,使早期诊断和治疗复杂化。本文对近年来的研究进行了简要概述。一个罕见的情况下发展的青少年皮肌炎被认为是一个青少年。需要注意的是,在医疗护理的初始治疗阶段,这种疾病的分期是复杂的。在正确选择治疗的背景下,显示了疾病病程的积极动态。指出了坚持规定治疗的重要性,拒绝治疗可能导致不良后果
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CHALLENGES IN EARLY DIAGNOSIS OF JUVENILE DERMATOMYOSITIS: A BRIEF REVIEW OF THE LITERATURE AND A CASE STUDY
Juvenile dermatomyositis (JDM) is an autoimmune, relatively rare multisystem disease of unknown etiology, of which late diagnosis and late initiation of therapy can lead to a child's disability and even lethal outcome. The disease begins in most cases at the age of 5–12 years though can manifest itself both in earlier, and at more advanced age. This disease has a pronounced clinical polymorphism, which complicates early diagnosis and therapy. The article provides a brief overview of research car-ried out in recent years. A rare case of development of juvenile dermatomyositis in a teenager is con-sidered. Attention is drawn to the complexity of staging this disease during the initial treatment for medical care. A positive dynamics of the course of the disease was shown against the background of correctly selected therapy. The importance of adherence to the prescribed treatment is indicated, the refusal of which can lead to adverse outcomes
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