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目的了解小儿Reiter综合征的临床表现、特点及转归。方法对8例Reiter综合征患儿的临床资料进行分析。结果 8例患儿中男7例、女1例,年龄为5～14岁。在出现全身症状同时均以关节炎为首发表现,下肢关节最易于受累,尿道炎亦多见,未见心、肝、肾脏损害。6例(75.0%)HLA-B27阳性。结论 Reiter综合征是反应性关节炎的一种特殊类型,表现症状多样,不典型,易误诊、漏诊,应引起儿科医师的重视。
Objective To understand the clinical manifestations, characteristics and prognosis of pediatric Reiter’s syndrome. Methods The clinical data of 8 children with Reiter’s syndrome were analyzed. Results There were 7 males and 1 females in 8 cases. The age ranged from 5 to 14 years old. In the presence of systemic symptoms are the first to show the performance of arthritis, lower limb joints most likely to be involved, urethritis is also more common, no heart, liver and kidney damage. Six cases (75.0%) of HLA-B27 positive. Conclusion Reiter’s syndrome is a special type of reactive arthritis, with various symptoms, atypical, easily misdiagnosed and missed diagnosis, which should be paid attention to by pediatricians.