[Ankylosing spondylitis with childhood onset. Description of a clinical case].
The terms "spondyloarthropathy" and "spondyloarthritis" have been recently introduced to indicate a group of syndromes associated in clinical and genetical peculiarities. The "ankylosing spondylitis with childhood onset", that is usually considered very rare, is, as a matter of fact, a disease difficult to diagnose because of the partial overlap with the "pauciarticular juvenile rheumatoid arthritis type II" for clinical and laboratory data. The Authors, after a recapitulation of the "pauciarticular juvenile rheumatoid arthritis type II" and of the "ankylosing spondylitis with childhood onset" diagnosis definition elements, propose a description of a clinical case that came to their observation. The clinical picture described, even though it presented some clinical peculiarities (particularly a primitive affection of the lumbosacral spine), some radiographic peculiarities (the precocious demineralization of the affected segments) and laboratory characteristics (positive F.A.N. to diffuse pattern) seemed a form of "ankylosing spondylitis with childhood onset", apparently primitive.
Paci
A
A
Cattedra di Clinica Pediatrica II, Università degli Studi di Pisa, Italia.
Battaglia
A
A
Bertini
M
M
Colombai
R
R
Pellegrini
V
V
D000328:Adult; D000367:Age Factors; D001171:Arthritis, Juvenile / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006680:HLA Antigens / Q000032:analysis; D015235:HLA-B Antigens / Q000032:analysis; D015796:HLA-B27 Antigen; D015793:HLA-B7 Antigen; D006801:Humans; D008297:Male; D013167:Spondylitis, Ankylosing / Q000175:diagnosis* / Q000235:genetics
D006680:HLA Antigens; D015235:HLA-B Antigens; D015796:HLA-B27 Antigen; D015793:HLA-B7 Antigen
Spondilite anchilosante ad esordio giovanile. Descrizione di un caso clinico.