text/Yangcheng Evening News media reporter Zhang Hua Correspondent Gao Long
Picture/provided by the hospital
A 6-year-old child always has knee pain and was diagnosed as "growth pain" and "synovitis". The doctor finally proposed surgery. Recently, a 6-year-old child with knee swelling and pain was diagnosed as "juvenile idiopathic arthritis" in the Department of Rheumatology and Immunology of the Second People's Hospital of Guangdong Province, which is a type of rheumatism.
Children also have rheumatism? The parents exclaimed that they could not accept it.
The little toddler who is walking suddenly finds that his knee joints can’t straighten; the little devil who usually jumps up and down suddenly always wants to hug; the little girl with beautiful skin suddenly appears patches of erythema; repeatedly Fever, it seems that using antipyretics and antibiotics can only relieve it for a while...
A 6-year-old child has repeated knee pains. Need surgery?
A 6-year-old child from Zhanjiang, Hao Hao (pseudonym), often said that his knee hurts at night during the epidemic. Ms. Wu's mother repeatedly checked and found that the child's skin was not damaged or bruised, which looked nothing unusual.
After his mother gave Haohao a massage, he could also fall asleep slowly and quietly, thinking that it might be the result of Haohao being too naughty during the day and jumping up and down tiredly.
But because Hao Hao said that the knee pain is more and more time, Ms. Wu was worried and consulted a doctor, saying that it might be growth pain, and it is recommended to give him a massage or hot compress when it hurts.
But later, Haohao's knee pain became more frequent. Until one day, my mother found that Haohao's knees seemed to be different on both sides, and the right side was a little swollen, and her mother became nervous.
The grandmother who usually takes care of Haohao said that she hadn't found any wrestling or sprains in Haohao, but it seems that she has been quieter than before. She can't be interested in climbing activities that she likes most when she goes out and walks less. A lot.
So my mother took Haohao to the local hospital for an examination, and the result came out. The doctor said it was synovitis, so he should prescribe medicine first. If the effect is not good, surgery may be required. At this time, my mother was frightened, thinking about the operation to be more cautious, so I decided to visit a big hospital in Guangzhou.
Children’s rheumatism should be diagnosed and treated early
After being introduced, my mother took Haohao to the outpatient department of the Department of Rheumatology and Immunology of the Second People's Hospital of Guangdong Province. The mother told the attending physician Zheng Shaoling that Haohao’s knee pain had lasted for several months. Recently, the child was reluctant to walk on the ground. She was very worried whether the child would not be able to walk in the future.
After detailed consultation and examination, the doctor found that Haohao’s blood picture, inflammatory index erythrocyte sedimentation rate and C-reactive protein all increased to varying degrees. The MRI results of the knee joint also showed that the synovium was thickened and accompanied by inflammatory signals. Considering Haohao’s several months of knee pain history, Haohao’s knee pain was diagnosed as "juvenile idiopathic arthritis", which is a rheumatism of children and requires immediate medical treatment.
Zheng Shaoling told Ms. Wu that Haohao is still in an early stage, and the joints have not been eroded. Injections and medications can be controlled well and will not affect future mobility, but follow-up treatment must be maintained for a long time.
Ms. Wu is surprised that Haohao is so young, why has rheumatism? Dr. Zheng Shaoling explained that rheumatism is not a patent for the elderly. Children can also suffer from rheumatism. Most of them are related to autoimmune disorders. There is no specific cause. Some may be genetic or environmental factors.
Zheng Shaoling specifically reminded that the same is rheumatism. Compared with adults, children’s onset is more fierce and easily affects internal organs, such as heart, lung, brain, kidney and other important organs, even life-threatening. Can get active treatment, and the condition can be controlled quickly. Therefore, early diagnosis, early treatment, individualization, and frequent follow-ups are the key to the treatment of childhood rheumatism. (For more news and information, please pay attention to Yangcheng Pai.ycwb.com)
Rheumatism is not a “patent” for the elderly
Children should be alert to these conditions
There are not many children rheumatism in clinic.But because of conceptual reasons, many symptoms are likely to be ignored by parents. How to identify it early? Dr. Zheng Shaoling reminded that the following conditions need to be screened in the Department of Rheumatology.
1. Redness, swelling, heat and pain of joints
The so-called "growth pain" refers to the stage of rapid growth of children. Due to the large amount of activity in children, the rapid growth of long bones is related to local muscles and tendons. Physiological pain caused by uncoordinated growth and development is most common in the knees, calves or the roots of the thighs. It is often painful at night.
However, for "arthritis", there must be inflammation, which manifests as "redness, swelling, heat and pain". If there is no history of trauma such as collision or sprain, the joints are swollen and painful for no reason, and the young child cannot express it. Parents can observe the child's walking gait abnormally and pay attention to the possibility of juvenile idiopathic arthritis.
Go to the Department of Rheumatology and Immunology as soon as possible for screening, early diagnosis and early treatment to avoid disability.
There is also a special type of juvenile idiopathic arthritis-the whole body type, which is mainly manifested by repeated fever, rash, and arthritis. If it is not treated in time, it will damage the organs and even endanger life.
2. Recurrent and unusual rash
Rheumatism caused by rheumatism is relatively stubborn and has various manifestations.
For example, the rash of juvenile dermatomyositis that is easily misdiagnosed as eczema; the common facial erythema of systemic lupus erythematosus onset in childhood; the ring-shaped erythema typical of neonatal lupus; with fever, it is easy to be mistaken for allergic wind Group-like rash, you need to be alert to juvenile idiopathic arthritis systemic type; in addition, skin manifestations such as psoriatic rash, eschar, bruising, necrosis, etc., should be checked for possible rheumatic immune diseases.
3. Repeated fever
Fever is the most common cause of infection, and it can be cured by anti-infection treatment usually within three to five days. However, there are two cases that need to be checked for rheumatism:
One is high fever that is difficult to retreat, a few hours after using anti-fever medicine, high fever again, lasting for several days, accompanied by rash or red eyes, red tongue;
another The kind of fever is prolonged and repeated, and the fever is not necessarily high. It lasts for 1-3 months, accompanied by erythema, joint swelling and pain, oral ulcers, weakness of the limbs, vascular disease and so on.
4. Multi-system and multi-organ damage
If multiple systems or organs are damaged during the course of the disease, such as kidney, heart, lung, liver, gastrointestinal tract, nervous system, blood system, endocrine system, etc., See an experienced pediatric rheumatologist in time.
In addition to the above-mentioned common types of childhood rheumatic diseases, there are more complex vasculitis, autoinflammatory diseases related to gene mutations, and so on.
Source | Yangcheng Evening News·Yangcheng Pai
Chief Editor | Cui Wencan
Approval | Zheng Zongmin
Intern | Wu Ke
