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Sonografie in der pädiatrischen Rheumatologie

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Pädiatrische Rheumatologie

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Zusammenfassung

Dieses Kapitel hebt den inzwischen herausragenden Stellenwert des Ultraschalls in der kinderrheumatologischen Diagnostik hervor. Kein anderes bildgebendes Verfahren hat sich für den täglichen Einsatz in der kinderrheumatologischen Routine so bewährt wie die Sonografie. Gelenk- und Sehnenentzündungen lassen sich bereits in der Frühphase einer juvenilen idiopathischen Arthritis in Ergänzung zum klinischen Befund sicher bestätigen und abgrenzen. An komplexen Gelenkregionen wie dem Fuß oder der Hand ist der Gelenkultraschall zum Nachweis entzündlicher Veränderungen der klinischen Untersuchung sogar überlegen. Die Sonografie hat neben der Aufgabe der Diagnosestellung auch eine wichtige Rolle bei der Beurteilung des Therapieansprechens bekommen. Dieser Beitrag führt in die technischen Voraussetzungen und die praktische Vorgehensweise ein. Mit vielen Beispielen werden die Besonderheiten der kindlichen Gelenksonografie auf dem Gebiet der Kinderrheumatologie veranschaulicht.

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Authors and Affiliations

  1. Klinik für Kinder- und Jugendrheumatologie, Rheumatologisches Kompetenzzentrum Nordwestdeutschland, St. Josef-Stift Sendenhorst, Sendenhorst, Deutschland

    Daniel Windschall

  2. Childrens Hospital of Eastern Ontario, Division of Pediatric Dermatology and Rheumatology, University of Ottawa, Ottawa, Kanada

    Johannes Roth

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  1. Daniel Windschall
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  2. Johannes Roth
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Correspondence to Daniel Windschall .

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Editors and Affiliations

  1. Klinik für Kinder- und Jugendmedizin, Universitätsklinikum Aachen, Aachen, Deutschland

    Norbert Wagner

  2. Sektion Rheumatologie der Klinik für Pädiatrie m.S. Pneumologie, Immunologie und Intensivmedizin mit Bereich Rheumatologie, im Sozialpädiatrischen ZentrumCharité - Universitätsmedizin Berlin, Berlin, Deutschland

    Günther Dannecker

  3. Sektion Rheumatologie der Klinik für Pädiatrie m.S. Pneumologie, Immunologie und Intensivmedizin mit Bereich Rheumatologie, im Sozialpädiatrischen ZentrumCharité - Universitätsmedizin Berlin, Berlin, Deutschland

    Tilmann Kallinich

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Windschall, D., Roth, J. (2022). Sonografie in der pädiatrischen Rheumatologie. In: Wagner, N., Dannecker, G., Kallinich, T. (eds) Pädiatrische Rheumatologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60410-6_9

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  • DOI: https://doi.org/10.1007/978-3-662-60410-6_9

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