Worrall V T, Butera V
J Bone Joint Surg Am. 1976 Dec;58(8):1161-3.
In order to define better the presentation, roentgenographic features, and clinical course of sickle-cell dactylitis, the records of nine children with sickle-cell anemia and acutely painful, swollen digits were reviewed. The average age of these children at the time of diagnosis was eighteen months, and in five instances the dactylitis occurred before the diagnosis of sickle-cell disease was established. The clinical signs, consisting of swelling, tenderness, fever, and leukocytosis, were self-limiting and resolved in five to thirty-one days. The roentgenographic features, characterized by periosteal new-bone formation or intramedullary densities, appeared in seven to fourteen days and resolved in two to three months. Incorrect diagnosis is frequent in this condition but can be avoided as familiarity with the syndrome increases.
为了更明确镰状细胞性指炎的表现、X线特征及临床病程，我们回顾了9例患有镰状细胞贫血且手指急性疼痛肿胀患儿的病历。这些患儿确诊时的平均年龄为18个月，其中5例指炎发生在镰状细胞病确诊之前。临床体征包括肿胀、压痛、发热及白细胞增多，呈自限性，在5至31天内消退。X线特征表现为骨膜新生骨形成或骨髓密度增高，在7至14天出现，2至3个月内消退。本病常出现误诊，但随着对该综合征认识的增加可以避免。
