Lloyd M E, Davitt S, Hall J R
Department of Rheumatology, Frimley Park Hospital. Frimley, Surrey, UK.
Clin Rheumatol. 2001;20(4):270-2. doi: 10.1007/s100670170043.
A 52-year-old woman with rheumatoid arthritis treated with low-dose steroids developed bilateral distal tibia and fibula fractures over a 15-month period. Her bone density was within osteopenic levels. Such fractures are an unusual but increasingly recognised complication of rheumatoid disease and its treatment, although there is often diagnostic delay. Bilateral fractures are particularly rare. A high level of clinical suspicion is required for early diagnosis.
一名52岁患有类风湿关节炎且接受低剂量类固醇治疗的女性，在15个月内双侧胫腓骨远端发生骨折。她的骨密度处于骨质减少水平。此类骨折是类风湿疾病及其治疗中一种不常见但越来越被认识到的并发症，尽管常常存在诊断延迟。双侧骨折尤其罕见。早期诊断需要高度的临床怀疑。
