PDF(Pubmed)
Abstract：
BACKGROUND: Limping is a common clinical symptom in childhood; different clinical conditions may lead to limping and the diagnosis of the underlying cause may often be a challenge for the pediatrician.
METHODS: We describe the clinical manifestations, radiological pictures and disease course of other causes of limping in childhood, through a case series of seven cases and a brief discussion of each disease.
CONCLUSIONS: although trauma is the most common cause of acute limping, when there is no history of traumatic events and the limping has a chronic course, Juvenile Idiopathic Arthritis is usually the most likely clinical diagnosis. However, other some rare conditions should be taken into account if JIA is not confirmed or if it presents with atypical clinical picture.
METHODS: We describe the clinical manifestations, radiological pictures and disease course of other causes of limping in childhood, through a case series of seven cases and a brief discussion of each disease.
CONCLUSIONS: although trauma is the most common cause of acute limping, when there is no history of traumatic events and the limping has a chronic course, Juvenile Idiopathic Arthritis is usually the most likely clinical diagnosis. However, other some rare conditions should be taken into account if JIA is not confirmed or if it presents with atypical clinical picture.
摘要：
背景：跛行是儿童时期常见的临床症状；不同的临床状况可能导致跛行，潜在病因的诊断往往是儿科医生面临的挑战。
方法：我们描述了临床表现，放射学图片和其他原因导致儿童跛行的病程，通过7例病例系列和每种疾病的简要讨论。
结论：虽然创伤是急性跛行的最常见原因，当没有创伤事件的历史并且跛行有慢性过程时，幼年特发性关节炎通常是最有可能的临床诊断。然而,其他一些罕见的情况下，如果JIA没有被证实或如果它呈现非典型的临床表现，应考虑在内。
方法：我们描述了临床表现，放射学图片和其他原因导致儿童跛行的病程，通过7例病例系列和每种疾病的简要讨论。
结论：虽然创伤是急性跛行的最常见原因，当没有创伤事件的历史并且跛行有慢性过程时，幼年特发性关节炎通常是最有可能的临床诊断。然而,其他一些罕见的情况下，如果JIA没有被证实或如果它呈现非典型的临床表现，应考虑在内。
