問題詳情

94. 小明罹患全身性青少年性類風濕性關節炎(systemic type Juvenile Idiopathic Arthritis) ，長期規則性於小兒風濕科門診追蹤，且情況穩定。最近因發燒已五天以上而就醫，抽血檢查發現有pancytopenia，且理學檢查發現lymphoadenopathy與hepatosplenomegaly，請問如需要進一步證實目前病況，下列何項檢驗或檢查較沒有幫助？
(A)Ferritin。
(B)Triglyceride。
(C)Bone marrow aspiration。
(D)Fibrinogen。
(E)Antinuclear antibody。

參考答案

答案：E
難度：適中0.5
統計：A(2),B(2),C(2),D(0),E(7)

用户評論

【Yen-Ju Chu】評論

Elevated ANA titers are present in 40-85% of children with oligoarticular or polyarticular JIA, but are rare with sJIA

【lououlei】評論

In this case , pancytopenia + hepatosplenomegaly+lymphadenopathy present , AA is not suggested , but uderlying leukemia is suggested , ANA is a test for SLE , not helpful in diagnosis of leukemia , therefore answer is (E)