[VASCULITIDES IN CHILDHOOD].

Reumatizam Pub Date : 2016-01-01
Marija Jelušić, Marijan Frković
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Abstract

Primary systemic vasculitides in children are relatively rare diseases. In most cases, they have an unknown etiology and are defined as the presence of inflammation in the blood vessel wall. Establishing the diagnosis of vasculitis is oft en challenging, since the disorder is multisystem in nature with mostly nonspecific symptoms. The last 10 years have seen significant advances in the field of pediatric vasculitis: the development and validation of classification criteria as well as tools to assess clinical disease activity and disease outcome, the inclusion of pediatric patients in international multicentre randomized controlled trial designs for therapies of vasculitis, clinical trials for very rare pediatric vasculitides, and identification of a special group of monogenic vasculitides. In this paper we want to introduce readers to the giant leap in the field of pediatric vasculitis as a result of the hard work of pediatric rheumatologists in vasculitis work groups.

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[儿童血管疾病]。
儿童原发性全身性血管病是比较少见的疾病。在大多数情况下,它们的病因不明,被定义为血管壁炎症的存在。建立血管炎的诊断往往是具有挑战性的,因为疾病是多系统的性质,大多是非特异性症状。在过去的10年里,儿童血管炎领域取得了重大进展:分类标准的发展和验证,以及评估临床疾病活动性和疾病结局的工具,将儿科患者纳入国际多中心随机对照试验设计,用于治疗血管炎,非常罕见的儿童血管炎的临床试验,以及识别一组特殊的单基因血管炎。在本文中,我们想向读者介绍在儿童血管炎领域的巨大飞跃,这是由于儿童风湿病学家在血管炎工作组的辛勤工作的结果。
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