>
网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
新生儿白塞病临床特征分析
作者:庄丽丽1 2  刘海梅2  李国民2  张涛2  李一帆2  管皖珍2  孙利2 
单位:1. 南京医科大学第一附属医院 儿科, 江苏 南京 210000;
2. 复旦大学附属儿科医院 风湿科, 上海 200000
关键词:新生儿 白塞病 临床特征 母亲白塞病史 
分类号:R725.9
出版年·卷·期(页码):2020·39·第四期(489-494)
摘要:

目的:分析新生儿白塞病的临床特征,为临床诊疗提供参考依据。方法:结合复旦大学附属儿科医院诊断的1例新生儿起病白塞病病例,通过检索国内外医学文献数据库,对2020年5月31日之前发表的关于新生儿起病的白塞病的临床病例报告进行分析。结果:共收集病例12例,其中男7例(58.3%),女5例(41.7%);多于生后2周内起病;新生儿期最主要临床特征为口腔或生殖器溃疡(含肛周溃疡)。8例(66.7%)母亲有白塞病病史,临床症状轻且均出现在新生儿期,预后良好;4例(33.3%)无白塞病家族史患儿随访期间疾病均反复发作。我国3例患儿母亲均无白塞病史。结论:家族史与临床症状有助于尽早识别新生儿白塞病,遗传背景可能影响新生儿白塞病临床表型及预后,新生儿白塞病需长期随访,警惕高危并发症的发生。

参考文献:

[1] SEYAHI E.Behçet's disease:How to diagnose and treat vascular involvement[J].Best Pract Res Clin Rheumatol,2016,30(2):279-295.
[2] SHAHRAM F,NADJI A,AKHLAGHI M,et al. Paediatric Behçet's disease in Iran:report of 204 cases[J].Clin Exp Rheumatol,2018,36(6):135-140.
[3] International Study Group for Behçet's Disease.Criteria for diagnosis of Behçet's disease[J].Lancet,1990,335(8697):1078-1080.
[4] International Team for the Revision of the International Criteria for Behçet's Disease (ITR-ICBD).The International Criteria for Behçet's Disease (ICBD):a collaborative study of 27 countries on the sensitivity and specificity of the new criteria[J].J Eur Acad Dermatol Venereol,2014,28(3):338-347.
[5] KONE-PAUT I,SHAHRAM F,DARCE-BELLO M,et al.Consensus classification criteria for paediatric Behçet's disease from a prospective observational cohort:PEDBD[J].Ann Rheum Dis,2016,75(6):958-964.
[6] JOHNSON E F,HAWKINS D M,GIFFORD L K,et al.Recurrent Oral and Genital Ulcers in an Infant:Neonatal Presentation of Pediatric Behcet Disease[J].Pediatr Dermatol,2015,32(5):714-717.
[7] CHANG Y S,YANG Y H,CHIANG B L. Neonatal Behçet's disease without maternal history[J].Clin Rheumatol,2011,30(12):1641-1645.
[8] WU P S,CHEN H L,YANG Y H,et al. Intestinal Behcet disease presenting as neonatal onset chronic diarrhea in an 11-month-old male baby[J].Eur J Pediatr,2005,164(8):523-525.
[9] CLARKE K,SHASTRY D,CHETCUTI P,et al. Neonatal Behçet's disease[J].Arch Dis Child,2017,102(11):1062.
[10] FERNANDEZ-FRUCTUOSO J R,GIL-SANCHEZ S,GOMEZ-SANTOS E,et al.Neonatal Behçet's disease with Raynaud phenomenon[J].J Neonatal Perinatal Med,2016,9(4):423-425.
[11] ANTONELOU M,BRAHA N.Transient neonatal Behçet's disease[J].BMJ Case Rep,2013:bcr2012007589.
[12] PATEL D,COOK N,NEWELL B,et al. Fever,irritability,and ulcerations in an infant[J].Pediatr Dermatol,2013,30(6):e287-e288.
[13] STARK A C,BHAKTA B,CHAMBERLAIN M A,et al. Life-threatening transient neonatal Behçet's disease[J].Br J Rheumatol,1997,36(6):700-702.
[14] FAIN O,MATHIEU E,LACHASSINNE E,et al.Neonatal Behçet's disease[J].Am J Med,1995,98(3):310-311.
[15] LEWIS M A,PRIESTLEY B L.Transient neonatal Behçet's disease[J].Arch Dis Child,1986,61(8):805-806.
[16] FAM A G,SIMINOVITCH K A,CARETTE S,et al.Neonatal Behçet's syndrome in an infant of a mother with the disease[J].Ann Rheum Dis,1981,40(5):509-512.
[17] DAVATCHI F,CHAMS-DAVATCHI C,SHAMS H,et al.Behçet's disease:epidemiology,clinical manifestations,and diagnosis[J].Expert Rev Clin Immunol,2017,13(1):57-65.
[18] ZHUANG L L,LIU H M,LI G M,et al. Dural sinus thrombosis and giant pulmonary artery aneurysm in paediatric Behçet's disease[J].Clin Exp Rheumatol,2020,38(3):558-566.
[19] HUANG Z,PENG K,LI X,et al.Mutations in Interleukin-10 Receptor and Clinical Phenotypes in Patients with Very Early Onset Inflammatory Bowel Disease:A Chinese VEO-IBD Collaboration Group Survey[J].Inflamm Bowel Dis,2017,23(4):578-590.
[20] DAVATCHI F,SHAHRAM F,CHAMS-DAVATCHI C,et al.Behçet's disease in Iran:analysis of 6500 cases[J].Int J Rheum Dis,2010,13(4):367-373.
[21] MALDINI C,LAVALLEY M P,CHEMINANT M,et al. Relationships of HLA-B51 or B5 genotype with Behçet's disease clinical characteristics:systematic review and meta-analyses of observational studies[J].Rheumatology (Oxford),2012,51(5):887-900.
[22] REMMERS E F,COSAN F,KIRINO Y,et al. Genome-wide association study identifies variants in the MHC class I,IL10,and IL23R-IL12RB2 regions associated with Behçet's disease[J].Nat Genet,2010,42(8):698-702.
[23] 程琳琳,李永哲.白塞病相关自身抗体研究进展[J].中华风湿病学杂志,2019,23(10):684-689.
[24] KONE-PAUT I.Behçet's disease in children,an overview[J].Pediatr Rheumatol Online J,2016,14(1):10.
[25] LEE S,CZUZOJ-SHULMAN N,ABENHAIM H A.Behçet's disease and pregnancy:obstetrical and neonatal outcomes in a population-based cohort of 12 million births[J].J Perinat Med,2019,47(4):381-387.
[26] ORGUL G,AKTOZ F,BEKSAC M S.Behçet's disease and pregnancy:what to expect?[J].J Obstet Gynaecol,2018,38(2):185-188.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 414864 位访问者


copyright ©《东南大学学报(医学版)》编辑部
联系电话:025-83272481 83272483
电子邮件:
bjb@pub.seu.edu.cn

苏ICP备09058364