Abstract：
UNLABELLED:Children with a painful hip present a diagnostic challenge since clinical differentiation between septic arthritis, transient synovitis and Perthes disease may be difficult. Septic arthritis, a potentially life-threatening and debilitating medical emergency, requires early recognition for successful treatment, while transient synovitis and Perthes disease may be managed conservatively. An "ideal" single test for discrimination between these conditions is currently not available. We assessed the value of clinical examination and simple laboratory tests together with radiography and hip ultrasound in differentiating septic arthritis from transient synovitis and Perthes disease by analyzing the records of 89 children treated at our institution for hip pain. Ultrasound, radiographs, laboratory, clinical, and follow-up data were available for all the children. Diagnoses were made according to established criteria. Transient synovitis was present in 64 patients, septic arthritis in 8 (of whom 2 had additional osteomyelitis), and Perthes disease in 4. All children with septic arthritis had hip effusion shown by ultrasound and at least two of the following criteria: fever, elevation of erythrocyte sedimentation rate (ESR) and of C-reactive protein (CRP). None of the children without effusion on ultrasound or who lacked two or all criteria had septic arthritis. Radiographs had no significant impact on the decision-making in primary evaluation of acute hip pain. CONCLUSION:We conclude that investigation of painful hips in children, based on hip ultrasound, body temperature, ESR and CRP, may allow cases for hip joint aspiration to be selected efficiently and may reduce the number of radiographs and hospital admissions.
journal_name
Eur J Pediatrjournal_title
European journal of pediatricsauthors
Eich GF,Superti-Furga A,Umbricht FS,Willi UVdoi
10.1007/s004310051243keywords:
subject
Has Abstractpub_date
1999-11-01 00:00:00pages
923-8issue
11eissn
0340-6199issn
1432-1076pii
91580923.431journal_volume
158pub_type
杂志文章abstract：:A case of painful bilateral hip effusions resolving spontaneously in the diuretic phase of steroid responsive nephrotic syndrome in a 6-year-old girl is reported. ...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF02072499
更新日期：1993-02-01 00:00:00
abstract：UNLABELLED:Rhizomelic chondrodysplasia punctata (RCDP) is clinically characterized by symmetrical shortening of the proximal limbs, contractures of joints, a characteristic dysmorphic face, and cataracts. In the classical form an impairment of several peroxisomal functions and enzymes (plasmalogen synthesis, phytanic a...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF02532526
更新日期：1996-12-01 00:00:00
abstract：:The effects of perinatal problems on red cell phosphate metabolism were studied in two groups of infants (preterms B and fullterms D) during the first month of life. All infants started milk feeding from day three after birth. The results were compared to those of healthy preterms (A) and fullterms (C), respectively. ...
journal_title：European journal of pediatrics
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doi：10.1007/s00431-007-0464-5
更新日期：2008-02-01 00:00:00
abstract：:A benign cystic nephroblastoma in a 6-month-old boy is presented. Erroneous interpretation as malignant nephroblastoma led to unnecessarily aggressive therapy. There is no evidence of recurrence or metastatic disease 12 years after the initial resection. As shown in our case and in the others previously reported in th...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF00447474
更新日期：1979-05-18 00:00:00
abstract：UNLABELLED:A newborn boy was referred to our hospital because of hemolytic anemia and severe hyperbilirubinemia. Extensive investigations aimed at determining the cause of hemolysis was initiated at the time of admission and 3 months after blood transfusion. Notably, no intrinsic erythrocyte abnormalities could be dete...
journal_title：European journal of pediatrics
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doi：10.1007/s00431-014-2374-7
更新日期：2014-12-01 00:00:00
abstract：:The clinical and biochemical response to 25-hydroxycholecalciferol (25-HCC) and vitamin D3, 150 microgram/day for 20 days has been compared in infants aged 3--18 months with nutritional rickets. The infants were allocated at random to Group I (11 infants) treated with 25HCC and Group II (9 infants) treated with vitami...
journal_title：European journal of pediatrics
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1977-12-30 00:00:00
abstract：:Acute pharyngitis is one of the most frequent causes of primary care physician visits; however, there is no agreement about which is the best strategy to diagnose and manage acute pharyngitis in children. The aim of the current study was to evaluate the cost-effectiveness of the recommended strategies to diagnose and ...
journal_title：European journal of pediatrics
pub_type： 杂志文章
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abstract：:The unfavorable impact of prematurity on the developing cerebellum was recently recognized, but the outcome after impaired cerebellar development as a prematurity-related complication is hitherto not adequately documented. Therefore we compared 31 preterm patients with disrupted cerebellar development to a control gro...
journal_title：European journal of pediatrics
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doi：10.1007/s00431-007-0647-0
更新日期：2008-10-01 00:00:00
abstract：:We report a 28-day-old female infant with pertussis presenting as severe acute bronchiolitis with cyanosis. On admission, the patient's symptoms were similar to those of acute bronchiolitis. However, occasional apneic episodes with cyanosis and peripheral lymphocytosis suggested neonatal pertussis and prompted us to e...
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更新日期：2012-03-01 00:00:00
abstract：:Serum immunoreactive erythropoietin (siEPO) was determined in cord serum from neonates (n = 97, gestational age 36-43 weeks), in healthy children from birth to adolescence (n = 260) and in children with haematological (n = 30), renal (n = 10) and congenital heart diseases (n = 70). In healthy children siEPO levels dec...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF01959395
更新日期：1990-04-01 00:00:00
abstract：:The purpose of this study is to investigate the association of programmed death-1 gene (PD-1) polymorphisms with genetic predispositions to Kawasaki disease (KD). A total of 73 patients with KD and 100 healthy controls were enrolled from 2007 to 2008. Two single nucleotide polymorphisms of the PD-1 gene, rs41386349 an...
journal_title：European journal of pediatrics
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doi：10.1007/s00431-009-1002-4
更新日期：2010-02-01 00:00:00
abstract：UNLABELLED:A survey among centres of the paediatric group of the GTH was performed to evaluate the prevalence and outcome of haemophiliacs with intracerebral haemorrhage. A questionnaire sent to the centres covered the following points: number of patients with severe, moderate and mild haemophilia A and B; for each pat...
journal_title：European journal of pediatrics
pub_type： 杂志文章,多中心研究
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更新日期：1999-12-01 00:00:00
abstract：:A 22 years old female with the late-onset of argininosuccinic aciduria was successfully treated for 5 months with a mixture of essential amino acids and their keto-analogues. There was a marked change in plasma ammonia, plasma amino acids and argininosuccinic acid excretion. A long term anabolic response was reflected...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF00445607
更新日期：1978-07-19 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF00442669
更新日期：1983-09-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF00441807
更新日期：1988-10-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s00431-013-2211-4
更新日期：2014-04-01 00:00:00
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journal_title：European journal of pediatrics
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journal_title：European journal of pediatrics
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更新日期：2015-11-01 00:00:00
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pub_type： 撤回出版物
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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journal_title：European journal of pediatrics
pub_type： 杂志文章,多中心研究
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更新日期：2020-03-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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更新日期：2013-11-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：2002-06-01 00:00:00
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journal_title：European journal of pediatrics
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s00431-004-1475-0
更新日期：2004-09-01 00:00:00
abstract：: ...
journal_title：European journal of pediatrics
pub_type： 信件
doi：10.1007/s00431-018-3259-y
更新日期：2019-01-01 00:00:00
