[Changes in the hepatobiliary system in juvenile rheumatoid arthritis]. / Izmeneniia gepatobiliarnoi sistemy pri iuvenil'nom revmatoidnom artrite.

The authors submit the results of echographic investigation of 42 children aged from 4 to 15 years old with juvenile rheumatoid arthritis (JRA). All the patients were distributed into three groups. Signs of affection of the hepatobiliary system were revealed in 60% of the patients, predominantly with the articular form of the disease and in 78.5% of the children with the articular -visceral form. The most grave changes were noted in the group of patients with JRA complicated by secondary amyloidosis (100%). The data obtained are compared with the clinico-laboratory indices, the form of the disease, peculiarity of therapy as a result of which a relationship between the mentioned signs and the character of JRA lesions is established. A high informativeness of the echographic method especially in the diagnosis of secondary amylosis is confirmed.

[Current methods of research in early diagnosis of cor pulmonale in children with diffuse connective tissue diseases]. / Sovremennye metody issledovaniia v rannei diagnostike "legochnogo serdtsa" pri diffuznykh bolezniakh soedinitel'noi tkani u detei.

Twenty children with systemic lupus erythematosus (SLE) and 13 children with systemic scleroderma were examined by electrocardiography, tetrapolar chest rheography, rheopulmonography and echocardiography. Half of the cases manifested pulmonary hypertension, which was more appreciable in SLE patients. The results of rheopulmonographic and echocardiographic research methods turned out highly comparable.