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前列腺素诱导的骨改变的平片和CT观察

Plain film and CT observations in prostaglandin-induced bone changes.

作者信息

Matzinger M A, Briggs V A, Dunlap H J, Udjus K, Martin D J, McDonald P

机构信息

Department of Radiology, Children's Hospital of Eastern Ontario, Ottawa, Canada.

出版信息

Pediatr Radiol. 1992;22(4):264-6. doi: 10.1007/BF02019854.

DOI:10.1007/BF02019854
PMID:1523047
Abstract

Prostaglandin E1 intravenous infusion is used in infants with ductal-dependent congenital heart disease to maintain ductal patency and prolong life until palliative or corrective surgery is feasible. Complications of prostaglandin administration include fever, diarrhoea, hypotension, apnoea, bradycardia, pseudowidening of the cranial sutures, underossification of the calvarial bones, periostitis, and skin edema [1-3]. This paper presents dramatic plain radiographic features of prostaglandin-induced bone disease, including periosteal proliferation and the unusual bone-within-bone appearance, and provides the previously unpublished CT correlation.

摘要

前列腺素E1静脉输注用于患有依赖动脉导管的先天性心脏病的婴儿,以维持动脉导管通畅并延长生命,直至可行姑息性或矫正性手术。使用前列腺素的并发症包括发热、腹泻、低血压、呼吸暂停、心动过缓、颅骨缝线假性增宽、颅骨骨化不足、骨膜炎和皮肤水肿[1-3]。本文介绍了前列腺素诱导的骨病显著的平片影像学特征,包括骨膜增生和罕见的骨中骨表现,并提供了此前未发表的CT相关性。

相似文献

1
Plain film and CT observations in prostaglandin-induced bone changes.前列腺素诱导的骨改变的平片和CT观察
Pediatr Radiol. 1992;22(4):264-6. doi: 10.1007/BF02019854.
2
Cortical hyperostosis: a complication of prostaglandin E1 treatment in congenital heart disease.
J Belge Radiol. 1989 Oct;72(5):377-80.
3
Cortical hyperostosis in an infant on prolonged prostaglandin infusion: case report and literature review.一名长期输注前列腺素的婴儿出现皮质骨增生:病例报告及文献综述
J Perinatol. 2004 Apr;24(4):263-5. doi: 10.1038/sj.jp.7211050.
4
Prostaglandin-induced hyperostosis. A case report.前列腺素诱导的骨肥厚。病例报告。
Clin Orthop Relat Res. 1989 Sep(246):300-4.
5
Prostaglandin induced cortical hyperostosis in neonates with cyanotic heart disease.
J Perinat Med. 2000;28(6):447-52. doi: 10.1515/JPM.2000.060.
6
Reversibility of cortical hyperostosis following long-term prostaglandin E1 therapy in infants with ductus-dependent congenital heart disease.
Pediatr Radiol. 1988;18(2):149-53. doi: 10.1007/BF02387559.
7
Case report 701: Prostaglandin E1 (PGE1) periostitis.病例报告701:前列腺素E1(PGE1)性骨膜炎。
Skeletal Radiol. 1991;20(8):617-9. doi: 10.1007/BF01106097.
8
Prostaglandin E1-Induced Periostitis and Reversibility with Discontinuation.前列腺素E1诱导的骨膜炎及其停药后的可逆性。
J Pediatr. 2017 Oct;189:237-237.e1. doi: 10.1016/j.jpeds.2017.06.033. Epub 2017 Jul 11.
9
Cortical hyperostosis secondary to prolonged use of prostaglandin E1.
Clinics (Sao Paulo). 2007 Jun;62(3):363-6. doi: 10.1590/s1807-59322007000300025.
10
Generalized periosteal reaction and tissue swelling secondary to prolonged prostaglandin E1 infusion and venous stasis: a case report.长期输注前列腺素E1和静脉淤滞继发的全身性骨膜反应和组织肿胀:一例报告
Turk J Pediatr. 2013 Sep-Oct;55(5):543-5.

引用本文的文献

1
Fetal MRI and postnatal findings of severe infantile cortical hyperostosis: A case report of prenatal Caffey disease with literature review.重度婴儿皮质增生症的胎儿磁共振成像及产后表现:1例产前卡菲病病例报告并文献复习
Radiol Case Rep. 2025 Jun 24;20(9):4530-4535. doi: 10.1016/j.radcr.2025.05.070. eCollection 2025 Sep.
2
Cortical hyperostosis simulating osteomyelitis after short-term prostaglandin E1 infusion.
Eur J Pediatr. 1996 Mar;155(3):173-4. doi: 10.1007/BF01953932.

本文引用的文献

1
Long-term low-dose prostaglandin E1 administration.
J Pediatr. 1980 Nov;97(5):866-7. doi: 10.1016/s0022-3476(80)80291-5.
2
Prostaglandin-induced periostitis: a complication of long-term PGE1 infusion in an infant with congenital heart disease.前列腺素诱导的骨膜炎:先天性心脏病婴儿长期输注前列腺素E1的一种并发症。
Radiology. 1982 Mar;142(3):657-8. doi: 10.1148/radiology.142.3.7199748.
3
Cortical hyperostosis following long-term administration of prostaglandin E1 in infants with cyanotic congenital heart disease.患有青紫型先天性心脏病的婴儿长期使用前列腺素E1后出现皮质骨增生。
J Pediatr. 1980 Nov;97(5):834-6. doi: 10.1016/s0022-3476(80)80282-4.
4
Prostaglandin synthetase inhibitor in Caffey disease.卡菲病中的前列腺素合成酶抑制剂
J Pediatr. 1982 Aug;101(2):314. doi: 10.1016/s0022-3476(82)80153-4.
5
Periosteal changes secondary to prostaglandin administration.前列腺素给药继发的骨膜变化。
J Pediatr. 1983 Aug;103(2):251-3. doi: 10.1016/s0022-3476(83)80358-8.
6
Widening of cranial sutures after long-term prostaglandin E2 therapy in two newborn infants.两名新生儿长期接受前列腺素E2治疗后颅缝增宽。
J Pediatr. 1984 Jul;105(1):72-4. doi: 10.1016/s0022-3476(84)80365-0.
7
Bone changes from prostaglandin therapy.
Skeletal Radiol. 1985;14(1):20-5. doi: 10.1007/BF00361189.
8
Pseudo-widening of cranial sutures as a feature of long-term prostaglandin E1 therapy.颅骨缝假性增宽作为长期前列腺素E1治疗的一个特征。
Pediatr Radiol. 1986;16(1):57-8. doi: 10.1007/BF02387508.
9
Soft-tissue swelling in two neonates during prostaglandin E1 therapy.
Pediatr Cardiol. 1986;7(3):157-60. doi: 10.1007/BF02424990.
10
Bone formation induced in an infant by systemic prostaglandin-E2 administration.通过全身给予前列腺素E2在婴儿体内诱导骨形成。
Acta Orthop Scand. 1988 Aug;59(4):464-6. doi: 10.3109/17453678809149406.