关节痛或关节炎是儿科常见症状之一。由于目前关节炎的分类还不统一,临床上常依据关节炎和抗“O”升高,而长期给大量激素治疗。这样不仅造成药物的浪费,而且给小儿特别是青春发育期儿童的内分泌紊乱,带来一定的影响,须加注意。病毒性关节疾病可分四大类: 一、童年常见病伴有的关节炎:急性良性关节炎可与许多病毒感染的症状和体征伴发,也可继发于甚至先于病毒感染症状。 (1)风疹关节炎常发生于出疹前6天至出疹后4天内出现对称性多发性大小关节炎,酷似类风湿性关节炎,症状持续5～60天,关节功能恢复良好。没有客观炎症反应的关节疼痛可持续一年以上。关节液中已分离出病毒。根据恢复期血清风疹 Joint pain or arthritis is one of the common pediatric symptoms. Due to the current classification of arthritis is not uniform, the clinical often based on arthritis and anti-“O” increased, while a large number of hormones for long-term treatment. This will not only result in the waste of drugs, but also to children, especially the puberty children endocrine disorders, have some impact, we must pay attention. Viral joint disease can be divided into four categories: First, childhood common disease associated with arthritis: acute benign arthritis can be associated with many symptoms and signs of viral infection may also be secondary to even before the symptoms of viral infection. (1) Rubella arthritis often occurs in the first 6 days before rash to 4 days after rash occurs Symptomatic multiple size arthritis, resembles rheumatoid arthritis, the symptoms persist for 5 to 60 days, joint function recovered well. Joint pain without an objective inflammatory response lasts more than a year. Joint fluid has been isolated from the virus. According to convalescent serum rubella