Preschool sarcoidosis manifesting as juvenile rheumatoid arthritis: A case report and a review of the literature of Japanese cases
Preschool sarcoidosis manifesting as juvenile rheumatoid arthritis: A case report and a review of the literature of Japanese cases
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表现为幼年类风湿性关节炎的学龄前结节病：日本病例报告及文献复习
DOI：
10.1111/j.1442-200x.1994.tb03237.x
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发表时间：
1994
影响因子：
1.4
通讯作者：
S. Chiba
中科院分区：
文献类型：
--
作者：
S. Ukae;H. Tsutsumi;N. Adachi;Hiroyuki Takahashi;Fumihiro Kato;S. Chiba
文献中报告了9例4岁或4岁以下儿童结节病的日本病例，包括本文介绍的病例。临床上，学龄前结节病与年龄较大的儿童明显不同;其特征是皮肤、关节和眼睛损害三联征，但不累及肺部。它很容易与青少年类风湿性关节炎混淆，后者也表现出关节炎和葡萄膜炎的症状。我们报告一例学龄前结节病患者，最初被诊断为幼年型类风湿性关节炎。我们建议及时进行皮肤活检以区分这些情况。
Nine Japanese cases of sarcoidosis in children of 4 years of age or younger have been reported in the literature, including the case presented here. Clinically, preschool sarcoidosis is distinctly different from that of older children; it is characterized by a triad of skin, joint and eye lesions without pulmonary involvement. It is easily confused with juvenile rheumatoid arthritis which also presents the symptoms of arthritis and uveitis. We report on a patient with preschool sarcoidosis who was initially diagnosed as having juvenile rheumatoid arthritis. We recommend prompt skin biopsy to differentiate between these conditions.