Cunha I, Saavedra M J, Oliveira M Alexandre, Salvador M J, Malcata A
Interna do Internato Complementar de Reumatologia do Servico de Reumatologia do Hosipitais da Universidade de Coimbra, Portugal.
Acta Reumatol Port. 2007 Apr-Jun;32(2):169-74.
Acroosteolysis is a rare clinical manifestation characterized by bone resorption of the terminal phalanges. It can occur in association with the variety of systemic diseases or be idiopathic. The authors describe a case of 47-year-old woman with acroosteolysis of distal phalanges since childhood, congenital amaurosis, premature loss of teeth and mal perforans. Because of the rate and exuberant manifestations found, with no etiological cause identified, the authors diagnosed Hajdu-Cheney Syndrome. Hajdu-Cheney is a rare, autosomal dominant disorder, with sporadic cases, apparently representing new mutations. Based on this case the authors review the differential diagnoses of acroosteolysis and the clinical manifestation of the Hajdu-Cheney syndrome
肢端骨质溶解是一种罕见的临床表现,其特征为末节指骨骨质吸收。它可与多种全身性疾病相关联,也可为特发性。作者描述了一例47岁女性,自幼患有末节指骨骨质溶解、先天性黑矇、牙齿过早脱落及穿通性溃疡。由于发现其病变速度及表现丰富,且未查明病因,作者诊断为哈伊杜-切尼综合征。哈伊杜-切尼综合征是一种罕见的常染色体显性疾病,有散发病例,显然代表新的突变。基于该病例,作者回顾了肢端骨质溶解的鉴别诊断及哈伊杜-切尼综合征的临床表现