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一名糖皮质激素受体数量增加的儿童在短期口服和吸入类固醇后发生的股骨头坏死。

Osteonecrosis of the hip after short courses of oral and inhaled steroids in a child with an increased number of glucocorticoid receptors.

作者信息

Drigo Ilenia, Saccari Alessia, Barbi Egidio, Bartoli Fiora, Decorti Giuliana, Ventura Alessandro

机构信息

Department of Reproductive and Developmental Science and IRCCS, Istituto per I'Infanzia Burlo Garofolo, Clinica Pediatrica, Trieste, Italy.

出版信息

Eur J Pediatr. 2006 Dec;165(12):913-5. doi: 10.1007/s00431-006-0197-x. Epub 2006 Jun 17.

DOI:10.1007/s00431-006-0197-x
PMID:16783583
Abstract

We report an unusual case of osteonecrosis of the femoral head associated with recurrent myopathy and bone abnormalities in a two-year-old girl, in whom symptoms occurred after a ten-day course of oral betamethasone for infectious wheezy bronchitis, and eventually recurred and were worsened by topical treatment; a hypersensitivity to glucocorticoids is hypothesised.

摘要

我们报告了一例罕见的股骨头坏死病例,该病例发生在一名两岁女童身上,伴有复发性肌病和骨骼异常。患儿因感染性喘息性支气管炎接受了为期十天的口服倍他米松治疗,之后出现症状,最终症状复发,且局部治疗使其加重;推测其对糖皮质激素过敏。

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Osteonecrosis of the hip after short courses of oral and inhaled steroids in a child with an increased number of glucocorticoid receptors.一名糖皮质激素受体数量增加的儿童在短期口服和吸入类固醇后发生的股骨头坏死。
Eur J Pediatr. 2006 Dec;165(12):913-5. doi: 10.1007/s00431-006-0197-x. Epub 2006 Jun 17.
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引用本文的文献

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Front Endocrinol (Lausanne). 2022 Oct 7;13:1016687. doi: 10.3389/fendo.2022.1016687. eCollection 2022.
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Osteonecrosis of the Femoral Head in an Adolescent on Long-Term Inhalational Corticosteroids.一名长期吸入皮质类固醇的青少年的股骨头坏死
Case Rep Pediatr. 2017;2017:6969787. doi: 10.1155/2017/6969787. Epub 2017 Feb 28.
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Inhaled corticosteroids and bone health.

本文引用的文献

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Glucocorticoid resistance and hypersensitivity.糖皮质激素抵抗与超敏反应。
Endocrinol Metab Clin North Am. 2005 Jun;34(2):315-26, viii. doi: 10.1016/j.ecl.2005.02.002.
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Oral prednisolone in the acute management of children age 6 to 35 months with viral respiratory infection-induced lower airway disease: a randomized, placebo-controlled trial.口服泼尼松龙用于6至35个月大的病毒感染性下呼吸道疾病患儿的急性治疗:一项随机、安慰剂对照试验。
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Efficacy of a short course of parent-initiated oral prednisolone for viral wheeze in children aged 1-5 years: randomised controlled trial.
吸入性糖皮质激素与骨骼健康。
Open Respir Med J. 2014 Jan 31;8:85-92. doi: 10.2174/1874306401408010085. eCollection 2014.
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Steroid induced osteonecrosis: An analysis of steroid dosing risk.类固醇诱导性骨坏死:类固醇剂量风险分析。
Autoimmun Rev. 2010 Sep;9(11):721-43. doi: 10.1016/j.autrev.2010.06.007. Epub 2010 Jul 9.
家长主动给予短期口服泼尼松龙治疗1-5岁儿童病毒性喘息的疗效:随机对照试验。
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Osteonecrosis of the hip (Legg-Calvé-Perthes disease) in human immunodeficiency virus-infected children.人类免疫缺陷病毒感染儿童的髋关节骨坏死(Legg-Calvé-Perthes病)
Pediatrics. 2002 May;109(5):E74-4. doi: 10.1542/peds.109.5.e74.
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Bilateral femoral avascular necrosis in a man with psoriasis: responsibility of topical corticosteroids and role of cyclosporine.
Dermatology. 2001;203(4):356-7. doi: 10.1159/000051794.
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Characterization of two novel mutations in the glucocorticoid receptor gene in patients with primary cortisol resistance.原发性皮质醇抵抗患者糖皮质激素受体基因两个新突变的特征分析。
Clin Endocrinol (Oxf). 2001 Sep;55(3):363-71. doi: 10.1046/j.1365-2265.2001.01323.x.
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Effect of glucocorticoid therapy on glucocorticoid receptors in children with autoimmune diseases.
Pediatr Res. 2001 Jan;49(1):130-5. doi: 10.1203/00006450-200101000-00025.
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Normocortisolemic Cushing's syndrome initially presenting with increased glucocorticoid receptor numbers.正常皮质醇血症性库欣综合征最初表现为糖皮质激素受体数量增加。
J Clin Endocrinol Metab. 2000 Jan;85(1):14-21. doi: 10.1210/jcem.85.1.6220.
9
A patient with hypocortisolism and Cushing's syndrome-like manifestations: cortisol hyperreactive syndrome.一名患有皮质醇减少症并伴有库欣综合征样表现的患者:皮质醇高反应综合征。
J Clin Endocrinol Metab. 1990 Mar;70(3):729-37. doi: 10.1210/jcem-70-3-729.