Çocukluk çağının selim akut miyoziti: 15 olgunun klinik ve laboratuvar bulguları

Abstract

Türk Pe di at ri Ar şi vi Der gi si, Ga le nos Ya yı ne vi ta ra fın dan ba sıl mış tır. / Tur kish Arc hi ves of Pe di at rics, pub lis hed by Ga le nos Pub lis hing Original Article Sum maryAim: In this study, clinical and laboratory findings of 15 cases with benign acute childhood myositis are presented to review pathognomonic findings of the disease. Material and Method: Fifteen typical cases with benign acute childhood myositis referred to our Pediatric Neurology Clinic because of inability to walk from 15th of January to 15th of March 2011 were enrolled into this study. Eighty percent of the cases were male and the mean age was 6.3 years. Guillian-Barre's syndrome was the most common initial diagnosis (47% of the cases). Results:The prodromal period lasted for 2-10 days and common symptoms included sore throat, fever and cough. When they were referred to our clinic, the patients complained of pain in both calves and inability to walk. The symptoms resolved rapidly and spontaneously in 3 days. Leucopenia was found in 87% of the patients, thrombocytopenia was found in 47% of the patients and mildly high alanine transaminase was found in 87% of the patients. Serum creatinine kinase level ranged from 580 to 8250 U/L and returned to normal within one week. Conclusions:In patients whose clinical and laboratory findings are suggestive of benign acute childhood myositis, it is important to consider the diagnosis early in terms of preventing unnecessary laboratory evaluations and different therapeutic approaches. (Turk Arch Ped 2012; 47: 55-8)