Recurrent transient synovitis of the hip in childhood. Longterm outcome among 39 patients.
J Rheumatol
; 33(4): 810-1, 2006 Apr.
Article
em En
| MEDLINE
| ID: mdl-16583482
ABSTRACT
OBJECTIVE:
To describe the outcome of children with recurrent transient synovitis (TS) of the hip.METHODS:
A retrospective chart review of children with at least 2 separate episodes of TS between 1986 and 2003. We described the diagnostic investigations and outcome of these patients. A followup telephone survey for disability and pain scores was performed in 2004.RESULTS:
We studied 39 children, 26 boys and 13 girls, from 6 pediatric rheumatology centers. The mean age at initial episode was 6 +/- 2.6 years. There were a total of 102 episodes (mean 2.9 +/- 1.6, median 2, range 2-10). All but 2 children had normal plain radiographs of the hip. All patients were contacted 4.2 +/- 2.5 years after the first episode. None developed clinical Perthes disease or other chronic orthopedic condition. Three (8%) patients developed chronic disease one had familial Mediterranean fever and 2 developed spondyloarthropathies, 0.5, 2, and 6 years after presentation. At followup 26 of 36 patients were asymptomatic, and 10 reported rare hip pain after intensive physical effort.CONCLUSION:
Children with recurrent TS usually have a benign course. In some patients recurrent TS may be the presenting feature of a chronic inflammatory condition. No progression to chronic orthopedic conditions was observed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sinovite
/
Articulação do Quadril
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
J Rheumatol
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Israel