7岁孩子的少儿关节炎如何治疗好？

患者：孩子今年7岁,从去年2月开始发作关节疼痛,接下来2周发作一次,开始只是一,两个关节疼痛,由于一直无法查出病因,最后导致6至7个关节开始发作.直到今年2月才诊断是少儿关节炎,但是,类风湿因子,ANA,SS-ANA,SM,SSA,等等,差不多有30项指标都属正常. 现在新加坡儿童院用甲氨蝶吟针剂为他治疗,每星期一次,12.5mg/0.5ml的计量,偶尔疼痛或发烧就吃一些布洛芬.病情基本上可以控制,但是如果只要停一次用药,病就复发.到现在为止,已经用药9个月了. 我想了解一下,您们医院是否有更好的治疗方式,比如说,中西医结合的方式,可以治本的.另外,最近他的颈椎疼痛得厉害,我是否可以用红外线治疗仪给他照射,以减少他的痛苦.广州市儿童医院过敏免疫风湿病科曾华松

广州市儿童医院免疫科曾华松：我们的确有一些中西医结合的方法，有获得国家FDA批准的中成药辅助治疗。患儿用药9个月了，起病不知有多久了，要抓紧起病两年内的治疗最佳时期积极治疗，以尽量避免严重的关节残疾。您的病情无法简单判断，如果有条件回国治疗的话，请来医院门诊挂号检查吧，我的出诊停诊时间详见我的个人网站首页。

患者：根据您的经验,这种病有可能靠药物根治吗?

广州市儿童医院免疫科曾华松：只要坚持治疗，预后会明显好于成人类风湿，JIA有些病例甚至会完全恢复健康，也可以理解为根治。但个体差异是很大的。及时早期治疗非常重要，每个个体都有一个最佳治疗窗口期，一般起病2年内都还有希望及机会，有关节畸形后就比较难恢复了。

患者：Dear Dr. Zeng Thank you so much for the prompt response at mid-night! Really appreciate it. Would you mind sending me your personal contacts (mobile number or office number) so that I could give you a call for appointment? My email address is [e-mail]. Thank you in advance. Parent of Larry Bi

广州市儿童医院免疫科曾华松：My cell phone no. is 86-13710326076,please contact with me in week days.Best wishes to your child.

患者：今天我们有一个问题想请教你,我儿子的关节炎最近还控制得不错,如膝关节,踝关节,肘关节都不怎么会疼痛.但是,他的颈椎疼痛和疲劳感却很严重,已经影响到他的学习和生活,几乎不能写字超过半小时.如果服用布诺芬,身体的不适感就减轻很多,但是他已经连续服用近一个月,有时会出现呼吸急促的情况,我们很担心这药的副作用.我们不知道是否有别的物理治疗的方法.最近我们的朋友建议用红外线灯来照射,不知道是否恰当,我们希望得到一些你的建议度过接下来的一个月,接下来,我们准备带孩子去到你院看诊.

广州市儿童医院免疫科曾华松：国内的针灸理疗可能比较地道祝您的孩子早日康复

患者：Dear Dr. Zeng, Sorry I write in English because my Chinese typing is too slow. Hope you don"t mind (did not manage to contact you through your mobile this afternoon and night). Firstly thank you soo much for your prompt response despite of your tight schedules. We have been monitoring Larry"s neck and back pain for past 2 weeks. It seems the situation hasn"t been improved though his joints" pain is controlled quite well (so far seldom joints pain for past 2 months). Larry"s school holiday will start in 2 weeks (different from China primary school). My wife is going to bring him back to our hometown Chongqing at middle of November. As staying in Guangzhou for too long is not convenience to us, we plan to go to Chongqing Children"s Hospital for a complete test again such as blood test, ECG and MRI etc. We plan to visit your clinic around Dec 20th and will return Singapore on Dec 26th. To be well planned, I would like to consult you on the followings: 1. Would all the test results from Chongqing Children"s Hospital be valid when we attend your clinic? Would appreciate it if you could advise the tests to be conducted in case certain tests might be missed out. 2. I understand that you eill only be available in the morning of every Tuesday and Friday. As we could only stay in Guangzhou for a short period, is it possible to make a special appointment with you on other days and time (for example, weekend(Dec 20-21) or the Monday (Dec 22nd))? Sorry for this request and thank you for your understanding. Thank you! Best Regards, Larry"s Father

广州市儿童医院免疫科曾华松：1. Chongqing Children"s Hospital is a very good children"s hospital in China. Professor Yang Xi-Qiang and Director Zhao Xiao-Dong are very good at pediatric immunology,we are good friends also, and they helped us lots.All the test results from Chongqing Children"s Hospital will be useful when you attend my clinic.The main tests about JIA are the common,but maybe there are a little differents between this two hospitals,you can finish all the tests which you need in Chongqing,including x-ray,MRI,blood tests of blood-R,ESR,CRP,liver,renal funcation,auto immune antibodies,RF-IgG,IgM,Anti-CCP,HLA-B27,CD3,4,8,19,56,P-ANCA,C-ANCA,lipid, lipoprotein, apolipoprotein,serum ferritin,D-dimer and any other tests the doctor in Chongqing whom u will see ask u to finish.anyway,the main tests will not be missed out. 2. Yes, my out patient clinic only be available in the morning of every Tuesday and Friday. As you could only stay in Guangzhou for a short period, i think it will be possible for you to make a special appointment with me in weekday"s afternoon or weekday"s morning except Tuesday and Friday morning.I am always busy at weekend not only about the family life but also about the jobs.Sorry about that.Thank you for your understanding and best regards for your sick child and your family.