Flipo R M, Adenis-Lavignasse C, Cortet B, Chastanet P, Goudemand J, Duquesnoy B
Clinique Rhumatologique, Hôpital B, Lille.
Rev Med Interne. 1992 Jul-Aug;13(4):293-5. doi: 10.1016/s0248-8663(05)80304-2.
The authors report a case of iliac muscle haematoma responsible for inguinal pain in a patient with Gaucher's disease type I. This exceptional cause of pain must now be considered side by side with the classical femoral head osteonecrosis and infectious coxitis. Magnetic resonance imaging appears to be the most sensitive and most specific examination for the aetiological diagnosis of hip pain in Gaucher's disease. In the absence of thrombocytopenia and franck abnormality of coagulation, the spontaneousness of the haematoma is discussed.
作者报告了1例Ⅰ型戈谢病患者因髂肌血肿导致腹股沟疼痛的病例。现在,这种特殊的疼痛原因必须与经典的股骨头坏死和感染性髋关节炎一并考虑。磁共振成像似乎是戈谢病髋部疼痛病因诊断中最敏感、最具特异性的检查。在没有血小板减少症和明显凝血异常的情况下,对血肿的自发性进行了讨论。