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Erschienen in: Der Hautarzt 10/2005

01.10.2005 | Leitthema

Kollagenosen im Kindesalter

verfasst von: K. Gensch, S. Gudowius, T. Niehues, PD Dr. A. Kuhn

Erschienen in: Die Dermatologie | Ausgabe 10/2005

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Zusammenfassung

Kollagenosen umfassen eine heterogene Gruppe von chronisch entzündlichen Multiorganerkrankungen, die den systemischen Lupus erythematodes (SLE), die progressiv systemische Sklerodermie (PSS), die Dermato- (DM) und Polymyositits (PM) sowie die gemischte Bindegewebserkrankung („mixed connective tissue disease“, MCTD) und das Sjögren-Syndrom (SS) einschließen. Insbesondere zu Beginn der jeweiligen Erkrankung können die Patienten ähnliche klinische Symptome aufweisen, die häufig eine spezifische Diagnose erschweren. Im Kindesalter ist die Inzidenz der Kollagenosen wesentlich niedriger als bei Erwachsenen, aber die Krankheitsbilder zeigen eine größere morphologische Vielfältigkeit. Allgemeinsymptome wie Müdigkeit, Fieber und Gewichtsverlust können einer systemischen Organmanifestation vorausgehen, und während des rezidivierenden Verlaufs der Erkrankungen entwickeln sich bei Kindern am häufigsten mukokutane Manifestationen. In diesem Übersichtsartikel werden die neuesten Angaben über Epidemiologie, klinische Manifestationen, diagnostisches Prozedere und therapeutische Strategien der Kollagenosen zusammengefasst und spezifische Probleme im Kindesalter dargestellt.
Literatur
1.
Zurück zum Zitat Albrecht J, Berlin JA, Braverman IM et al. (2004) Dermatology position paper on the revision of the 1982 ACR criteria for systemic lupus erythematosus. Lupus 13:839–849CrossRefPubMed Albrecht J, Berlin JA, Braverman IM et al. (2004) Dermatology position paper on the revision of the 1982 ACR criteria for systemic lupus erythematosus. Lupus 13:839–849CrossRefPubMed
2.
Zurück zum Zitat Albrecht-Nebe H (1999) Autoimmundermatosen. In: Traupe H, Hamm H (Hrsg). Pädiatrische Dermatologie. Springer, Berlin Heidelberg New York Tokyo, S 561–579 Albrecht-Nebe H (1999) Autoimmundermatosen. In: Traupe H, Hamm H (Hrsg). Pädiatrische Dermatologie. Springer, Berlin Heidelberg New York Tokyo, S 561–579
3.
Zurück zum Zitat Amato L, Coronella G, Berti S et al. (2003) Subacute cutaneous lupus erythematosus in childhood. Pediatr Dermatol 20:31–34CrossRefPubMed Amato L, Coronella G, Berti S et al. (2003) Subacute cutaneous lupus erythematosus in childhood. Pediatr Dermatol 20:31–34CrossRefPubMed
4.
Zurück zum Zitat Anaya JM, Ogawa N, Talal N (1995) Sjogren’s syndrome in childhood. J Rheumatol 22:1152–1158PubMed Anaya JM, Ogawa N, Talal N (1995) Sjogren’s syndrome in childhood. J Rheumatol 22:1152–1158PubMed
5.
Zurück zum Zitat Ansell BM (1992) Juvenile dermatomyositis. J Rheumatol Suppl 33:60–62PubMed Ansell BM (1992) Juvenile dermatomyositis. J Rheumatol Suppl 33:60–62PubMed
7.
Zurück zum Zitat Bacman D, Tanbajewa A, Megahed M et al. (2003) Topical treatment with tacrolimus in lupus erythematosus tumidus. Hautarzt 54:977–979CrossRefPubMed Bacman D, Tanbajewa A, Megahed M et al. (2003) Topical treatment with tacrolimus in lupus erythematosus tumidus. Hautarzt 54:977–979CrossRefPubMed
8.
Zurück zum Zitat Bader-Meunier B, Armengaud JB, Haddad E et al. (2005) Initial presentation of childhood-onset systemic lupus erythematosus: a French multicenter study. J Pediatr 146:648–653CrossRefPubMed Bader-Meunier B, Armengaud JB, Haddad E et al. (2005) Initial presentation of childhood-onset systemic lupus erythematosus: a French multicenter study. J Pediatr 146:648–653CrossRefPubMed
9.
Zurück zum Zitat Bartunkova J, Sediva A, Vencovsky J, Tesar V (1999) Primary Sjogren’s syndrome in children and adolescents: proposal for diagnostic criteria. Clin Exp Rheumatol 17:381–386 Bartunkova J, Sediva A, Vencovsky J, Tesar V (1999) Primary Sjogren’s syndrome in children and adolescents: proposal for diagnostic criteria. Clin Exp Rheumatol 17:381–386
11.
Zurück zum Zitat Boon SJ, McCurdy D (2002) Childhood systemic lupus erythematosus. Pediatr Ann 31:407–417PubMed Boon SJ, McCurdy D (2002) Childhood systemic lupus erythematosus. Pediatr Ann 31:407–417PubMed
12.
Zurück zum Zitat Buyon JP, Clancy RM (2005) Neonatal lupus: basic research and clinical perspectives. Rheum Dis Clin North Am 31:299–313, viiCrossRefPubMed Buyon JP, Clancy RM (2005) Neonatal lupus: basic research and clinical perspectives. Rheum Dis Clin North Am 31:299–313, viiCrossRefPubMed
13.
Zurück zum Zitat Cervera R, Khamashta MA, Font J et al. (1993) Systemic lupus erythematosus: clinical and immunologic patterns of disease expression in a cohort of 1,000 patients. The European Working Party on Systemic Lupus Erythematosus. Medicine (Baltimore) 72:113–124 Cervera R, Khamashta MA, Font J et al. (1993) Systemic lupus erythematosus: clinical and immunologic patterns of disease expression in a cohort of 1,000 patients. The European Working Party on Systemic Lupus Erythematosus. Medicine (Baltimore) 72:113–124
14.
Zurück zum Zitat Cherif F, Mebazaa A, Mokni M et al. (2003) Childhood discoid lupus erythematosus: a Tunisian retrospective study of 16 cases. Pediatr Dermatol 20:295–298CrossRefPubMed Cherif F, Mebazaa A, Mokni M et al. (2003) Childhood discoid lupus erythematosus: a Tunisian retrospective study of 16 cases. Pediatr Dermatol 20:295–298CrossRefPubMed
15.
Zurück zum Zitat Cimaz R, Casadei A, Rose C, Bartunkova J et al. (2003) Primary Sjogren syndrome in the paediatric age: a multicentre survey. Eur J Pediatr 162:661–665CrossRefPubMed Cimaz R, Casadei A, Rose C, Bartunkova J et al. (2003) Primary Sjogren syndrome in the paediatric age: a multicentre survey. Eur J Pediatr 162:661–665CrossRefPubMed
16.
Zurück zum Zitat Costner MI, Sontheimer RD, Provost TT (2003) Lupus erythematosus. In: Sontheimer RD, Provost TT (eds) Cutaneous manifestations of rheumatic diseases. Williams & Wilkins, Philadelphia, pp 15–64 Costner MI, Sontheimer RD, Provost TT (2003) Lupus erythematosus. In: Sontheimer RD, Provost TT (eds) Cutaneous manifestations of rheumatic diseases. Williams & Wilkins, Philadelphia, pp 15–64
17.
18.
Zurück zum Zitat Diociaiuti A, Paone C, Giraldi L et al. (2005) Congenital lupus erythematosus: case report and review of the literature. Pediatr Dermatol 22:240–242CrossRefPubMed Diociaiuti A, Paone C, Giraldi L et al. (2005) Congenital lupus erythematosus: case report and review of the literature. Pediatr Dermatol 22:240–242CrossRefPubMed
19.
Zurück zum Zitat Feldman BM, Reichlin M, Laxer RM et al. (1996) Clinical significance of specific autoantibodies in juvenile dermatomyositis. J Rheumatol 23:1794–1797PubMed Feldman BM, Reichlin M, Laxer RM et al. (1996) Clinical significance of specific autoantibodies in juvenile dermatomyositis. J Rheumatol 23:1794–1797PubMed
21.
Zurück zum Zitat Foeldvari I, Zhavania M, Birdi N et al. (2000) Favourable outcome in 135 children with juvenile systemic sclerosis: results of a multi-national survey. Rheumatology (Oxford) 39:556–559 Foeldvari I, Zhavania M, Birdi N et al. (2000) Favourable outcome in 135 children with juvenile systemic sclerosis: results of a multi-national survey. Rheumatology (Oxford) 39:556–559
22.
Zurück zum Zitat Girschik HJ, Niehues T, Huppertz HI, Ganser G (2005) Systemischer Lupus erythematodes. In: Fischer U (Hrsg) Leitlinien Kinderheilkunde und Jugendmedizin. Urban & Fischer (im Druck) Girschik HJ, Niehues T, Huppertz HI, Ganser G (2005) Systemischer Lupus erythematodes. In: Fischer U (Hrsg) Leitlinien Kinderheilkunde und Jugendmedizin. Urban & Fischer (im Druck)
23.
Zurück zum Zitat Gottron HA (1954) Dermatomyositis with reference to poikiloderma. Dermatol Wochenschr 130:923–930PubMed Gottron HA (1954) Dermatomyositis with reference to poikiloderma. Dermatol Wochenschr 130:923–930PubMed
24.
Zurück zum Zitat Hochberg MC (1997) Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 40:1725 Hochberg MC (1997) Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 40:1725
25.
Zurück zum Zitat Huber AM, Lang B, LeBlanc CM et al. (2000) Medium- and long-term functional outcomes in a multicenter cohort of children with juvenile dermatomyositis. Arthritis Rheum 43:541–549PubMed Huber AM, Lang B, LeBlanc CM et al. (2000) Medium- and long-term functional outcomes in a multicenter cohort of children with juvenile dermatomyositis. Arthritis Rheum 43:541–549PubMed
26.
Zurück zum Zitat Jablonska S, Blaszczyk M (1998) Scleroderma-like disorders. Semin Cutan Med Surg 17:65–76PubMed Jablonska S, Blaszczyk M (1998) Scleroderma-like disorders. Semin Cutan Med Surg 17:65–76PubMed
27.
Zurück zum Zitat Joulia P, Petges A, Texier L (1953) Wagner-Unverricht acute dermatomyositis. Bull Soc Fr Dermatol Syphiligr 60:137–140 Joulia P, Petges A, Texier L (1953) Wagner-Unverricht acute dermatomyositis. Bull Soc Fr Dermatol Syphiligr 60:137–140
28.
Zurück zum Zitat Kanekura T, Yoshii N, Terasaki K et al. (2003) Efficacy of topical tacrolimus for treating the malar rash of systemic lupus erythematosus. Br J Dermatol 148:353–356CrossRefPubMed Kanekura T, Yoshii N, Terasaki K et al. (2003) Efficacy of topical tacrolimus for treating the malar rash of systemic lupus erythematosus. Br J Dermatol 148:353–356CrossRefPubMed
29.
Zurück zum Zitat Klein-Gitelman M, Reiff A, Silverman ED (2002) Systemic lupus erythematosus in childhood. Rheum Dis Clin North Am 28:561-577CrossRefPubMed Klein-Gitelman M, Reiff A, Silverman ED (2002) Systemic lupus erythematosus in childhood. Rheum Dis Clin North Am 28:561-577CrossRefPubMed
30.
Zurück zum Zitat Kobayashi I, Furuta H, Tame A et al. (1996) Complications of childhood Sjogren syndrome. Eur J Pediatr 155:890–894CrossRefPubMed Kobayashi I, Furuta H, Tame A et al. (1996) Complications of childhood Sjogren syndrome. Eur J Pediatr 155:890–894CrossRefPubMed
31.
Zurück zum Zitat Kreuter A, Gambichler T, Breuckmann F et al. (2004) Pimecrolimus 1% cream for cutaneous lupus erythematosus. J Am Acad Dermatol 51:407–410CrossRefPubMed Kreuter A, Gambichler T, Breuckmann F et al. (2004) Pimecrolimus 1% cream for cutaneous lupus erythematosus. J Am Acad Dermatol 51:407–410CrossRefPubMed
32.
Zurück zum Zitat Kuhn A, Sontheimer RD, Ruzicka T (2004) Clinical manifestations of cutaneous lupus erythematosus. In: Kuhn A, Lehmann P, Ruzicka T (eds) Cutaneous lupus erythematosus. Springer, Berlin Heidelberg New York Tokyo, pp 59–92 Kuhn A, Sontheimer RD, Ruzicka T (2004) Clinical manifestations of cutaneous lupus erythematosus. In: Kuhn A, Lehmann P, Ruzicka T (eds) Cutaneous lupus erythematosus. Springer, Berlin Heidelberg New York Tokyo, pp 59–92
33.
Zurück zum Zitat Kumon K, Satake A, Mizumoto M et al. (2000) A case of sensory neuropathy associated with childhood Sjogren syndrome. Eur J Pediatr 159:630–631PubMed Kumon K, Satake A, Mizumoto M et al. (2000) A case of sensory neuropathy associated with childhood Sjogren syndrome. Eur J Pediatr 159:630–631PubMed
35.
Zurück zum Zitat Lee LA (2004) Cutaneous lupus erythematosus during the neonatal and childhood periods. In: Kuhn A, Lehmann P, Ruzicka T (eds) Cutanoeus lupus erythematosus. Springer, Berlin Heidelberg New York Tokyo, pp 107–116 Lee LA (2004) Cutaneous lupus erythematosus during the neonatal and childhood periods. In: Kuhn A, Lehmann P, Ruzicka T (eds) Cutanoeus lupus erythematosus. Springer, Berlin Heidelberg New York Tokyo, pp 107–116
36.
Zurück zum Zitat Lee LA (2004) Neonatal lupus erythematosus: clinical findings and pathogenesis. J Investig Dermatol Symp Proc 9:52–56CrossRefPubMed Lee LA (2004) Neonatal lupus erythematosus: clinical findings and pathogenesis. J Investig Dermatol Symp Proc 9:52–56CrossRefPubMed
37.
Zurück zum Zitat Lee LA (2004) Neonatal lupus: clinical features and management. Paediatr Drugs 6:71–78PubMed Lee LA (2004) Neonatal lupus: clinical features and management. Paediatr Drugs 6:71–78PubMed
38.
Zurück zum Zitat Lee LA (2005) Transient autoimmunity related to maternal autoantibodies: neonatal lupus. Autoimmun Rev 4:207–213CrossRefPubMed Lee LA (2005) Transient autoimmunity related to maternal autoantibodies: neonatal lupus. Autoimmun Rev 4:207–213CrossRefPubMed
39.
Zurück zum Zitat Lee LA, Weston WL (1997) Cutaneous lupus erythematosus during the neonatal and childhood periods. Lupus 6:132–138PubMed Lee LA, Weston WL (1997) Cutaneous lupus erythematosus during the neonatal and childhood periods. Lupus 6:132–138PubMed
40.
Zurück zum Zitat Lee T, von Scheven E, Sandborg C (2001) Systemic lupus erythematosus and antiphospholipid syndrome in children and adolescents. Curr Opin Rheumatol 13:415–421CrossRefPubMed Lee T, von Scheven E, Sandborg C (2001) Systemic lupus erythematosus and antiphospholipid syndrome in children and adolescents. Curr Opin Rheumatol 13:415–421CrossRefPubMed
41.
Zurück zum Zitat LeRoy EC, Black C, Fleischmajer R et al. (1988) Scleroderma (systemic sclerosis): classification, subsets and pathogenesis. J Rheumatol 15:202–205PubMed LeRoy EC, Black C, Fleischmajer R et al. (1988) Scleroderma (systemic sclerosis): classification, subsets and pathogenesis. J Rheumatol 15:202–205PubMed
42.
Zurück zum Zitat Martin V, Lee LA, Askanase AD et al. (2002) Long-term followup of children with neonatal lupus and their unaffected siblings. Arthritis Rheum 46:2377–2383CrossRefPubMed Martin V, Lee LA, Askanase AD et al. (2002) Long-term followup of children with neonatal lupus and their unaffected siblings. Arthritis Rheum 46:2377–2383CrossRefPubMed
43.
Zurück zum Zitat Mendez EP, Lipton R, Ramsey-Goldman R et al. (2003) US incidence of juvenile dermatomyositis, 1995–1998: results from the National Institute of Arthritis and Musculoskeletal and Skin Diseases Registry. Arthritis Rheum 49:300–305CrossRefPubMed Mendez EP, Lipton R, Ramsey-Goldman R et al. (2003) US incidence of juvenile dermatomyositis, 1995–1998: results from the National Institute of Arthritis and Musculoskeletal and Skin Diseases Registry. Arthritis Rheum 49:300–305CrossRefPubMed
44.
Zurück zum Zitat Michels H (1997) Course of mixed connective tissue disease in children. Ann Med 29:359–364PubMed Michels H (1997) Course of mixed connective tissue disease in children. Ann Med 29:359–364PubMed
45.
Zurück zum Zitat Miller FW, Rider LG, Plotz PH et al. (2003) Diagnostic criteria for polymyositis and dermatomyositis. Lancet 362:1762–1763CrossRefPubMed Miller FW, Rider LG, Plotz PH et al. (2003) Diagnostic criteria for polymyositis and dermatomyositis. Lancet 362:1762–1763CrossRefPubMed
46.
Zurück zum Zitat Moises-Alfaro C, Berron-Perez R, Carrasco-Daza D et al. (2003) Discoid lupus erythematosus in children: clinical, histopathologic, and follow-up features in 27 cases. Pediatr Dermatol 20:103–107CrossRefPubMed Moises-Alfaro C, Berron-Perez R, Carrasco-Daza D et al. (2003) Discoid lupus erythematosus in children: clinical, histopathologic, and follow-up features in 27 cases. Pediatr Dermatol 20:103–107CrossRefPubMed
47.
Zurück zum Zitat Nirmalananthan N, Holton JL, Hanna MG (2004) Is it really myositis? A consideration of the differential diagnosis. Curr Opin Rheumatol 16:684–691CrossRefPubMed Nirmalananthan N, Holton JL, Hanna MG (2004) Is it really myositis? A consideration of the differential diagnosis. Curr Opin Rheumatol 16:684–691CrossRefPubMed
48.
Zurück zum Zitat Petty RE, Cassidy T (2001) Systemic lupus erythematosus. In: Petty RE, Cassidy T (eds) Textbook of pediatric rheumatology. Saunders, Philadelphia, pp 396–449 Petty RE, Cassidy T (2001) Systemic lupus erythematosus. In: Petty RE, Cassidy T (eds) Textbook of pediatric rheumatology. Saunders, Philadelphia, pp 396–449
49.
Zurück zum Zitat Rasmussen JE (1983) Antimalarials — are they safe to use in children? Pediatr Dermatol 1:89–91PubMed Rasmussen JE (1983) Antimalarials — are they safe to use in children? Pediatr Dermatol 1:89–91PubMed
50.
Zurück zum Zitat Reed AM, Mason T (2005) Recent advances in juvenile dermatomyositis. Curr Rheumatol Rep 7:94–98PubMed Reed AM, Mason T (2005) Recent advances in juvenile dermatomyositis. Curr Rheumatol Rep 7:94–98PubMed
51.
Zurück zum Zitat Rider LG, Miller FW (1997) Classification and treatment of the juvenile idiopathic inflammatory myopathies. Rheum Dis Clin North Am 23:619–55CrossRefPubMed Rider LG, Miller FW (1997) Classification and treatment of the juvenile idiopathic inflammatory myopathies. Rheum Dis Clin North Am 23:619–55CrossRefPubMed
52.
Zurück zum Zitat Sharp GC, Irvin WS, Tan EM et al. (1972) Mixed connective tissue disease — an apparently distinct rheumatic disease syndrome associated with a specific antibody to an extractable nuclear antigen (ENA). Am J Med 52:148–159CrossRefPubMed Sharp GC, Irvin WS, Tan EM et al. (1972) Mixed connective tissue disease — an apparently distinct rheumatic disease syndrome associated with a specific antibody to an extractable nuclear antigen (ENA). Am J Med 52:148–159CrossRefPubMed
53.
Zurück zum Zitat Sonntag M, Lehmann P, Megahed M et al. (2003) Lupus erythematosus tumidus in childhood. Report of 3 patients. Dermatology 207:188–192CrossRefPubMed Sonntag M, Lehmann P, Megahed M et al. (2003) Lupus erythematosus tumidus in childhood. Report of 3 patients. Dermatology 207:188–192CrossRefPubMed
54.
Zurück zum Zitat Tan EM, Cohen AS, Fries J et al. (1982) The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 25:1271–1277PubMed Tan EM, Cohen AS, Fries J et al. (1982) The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 25:1271–1277PubMed
55.
Zurück zum Zitat Uziel Y, Miller ML, Laxer RM (1995) Scleroderma in children. Pediatr Clin North Am 42:1171–1203PubMed Uziel Y, Miller ML, Laxer RM (1995) Scleroderma in children. Pediatr Clin North Am 42:1171–1203PubMed
56.
Zurück zum Zitat Van Gysel D, de Waard-van der Spek FB, Oranje AP (2002) Childhood discoid lupus erythematosus: report of five new cases and review of the literature. J Eur Acad Dermatol Venereol 16:143–147CrossRefPubMed Van Gysel D, de Waard-van der Spek FB, Oranje AP (2002) Childhood discoid lupus erythematosus: report of five new cases and review of the literature. J Eur Acad Dermatol Venereol 16:143–147CrossRefPubMed
57.
Zurück zum Zitat Wahn V (2001) Autoimmunerkrankungen. In: Wahn V, Oppermann J, Huppertz HI, Zepp F (Hrsg) Rheumatische Erkrankungen im Kindes- und Jugendalter. Hans Marseille, München, S 248–268 Wahn V (2001) Autoimmunerkrankungen. In: Wahn V, Oppermann J, Huppertz HI, Zepp F (Hrsg) Rheumatische Erkrankungen im Kindes- und Jugendalter. Hans Marseille, München, S 248–268
58.
Zurück zum Zitat Wimmershoff MB, Hohenleutner U, Landthaler M (2003) Discoid lupus erythematosus and lupus profundus in childhood: a report of two cases. Pediatr Dermatol 20:140–145PubMed Wimmershoff MB, Hohenleutner U, Landthaler M (2003) Discoid lupus erythematosus and lupus profundus in childhood: a report of two cases. Pediatr Dermatol 20:140–145PubMed
59.
Zurück zum Zitat Wollheim F (2005) Classification of systemic sclerosis: Visions and reality. Rheumatology (Oxford) (in press) Wollheim F (2005) Classification of systemic sclerosis: Visions and reality. Rheumatology (Oxford) (in press)
60.
Zurück zum Zitat Zappitelli M, Duffy C, Bernard C et al. (2004) Clinicopathological study of the WHO classification in childhood lupus nephritis. Pediatr Nephrol 19:503–510CrossRefPubMed Zappitelli M, Duffy C, Bernard C et al. (2004) Clinicopathological study of the WHO classification in childhood lupus nephritis. Pediatr Nephrol 19:503–510CrossRefPubMed
61.
Zurück zum Zitat Ziering CL, Rabinowitz LG, Esterly NB (1993) Antimalarials for children: indications, toxicities, and guidelines. J Am Acad Dermatol 28:764–770PubMed Ziering CL, Rabinowitz LG, Esterly NB (1993) Antimalarials for children: indications, toxicities, and guidelines. J Am Acad Dermatol 28:764–770PubMed
Metadaten
Titel
Kollagenosen im Kindesalter
verfasst von
K. Gensch
S. Gudowius
T. Niehues
PD Dr. A. Kuhn
Publikationsdatum
01.10.2005
Verlag
Springer-Verlag
Erschienen in
Die Dermatologie / Ausgabe 10/2005
Print ISSN: 2731-7005
Elektronische ISSN: 2731-7013
DOI
https://doi.org/10.1007/s00105-005-1016-4

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