Dihlmann W, Dihlmann S W
Roentgen Institute Barmbek General Hospital, Germany.
Clin Rheumatol. 1991 Sep;10(3):250-63. doi: 10.1007/BF02208686.
Thirty-four patients with chest wall hyperostosis, a condition which has been designated by various terms in the literature were evaluated radiologically. We prefer the name acquired hyperostosis syndrome (AHS), which we categorize into the complete, incomplete and possible form. In complete AHS, sternocostoclavicular hyperostosis is associated with axial and/or peripheral (endosteal, periosteal, enthesopathic, metaplastic) hyperostosis and with psoriasiform or acneform dermatosis. In addition, these three manifestations are accompanied by erosive or non-erosive peripheral and/or axial arthritis to a variable degree. Sometimes, concomitant findings which are consistent with ankylosing spondylitis are also to be found in the axial skeleton. AHS is manifested at 11 different sites on the anterior chest wall. Ossification forms of the costal cartilage, inflammatory enthesopathies (three different insertions) and focal hyperostoses as well as processes of remodelling of the ribs, clavicles and sternum which are described in detail have particular diagnostic significance. AHS can start simultaneously at one, two or several sites on the anterior chest wall. Conventional tomography (possibly supplemented by CT) is necessary for early diagnosis and for analysis of the various findings on the anterior chest wall.
对34例胸壁骨质增生患者进行了放射学评估,这种病症在文献中有多种命名。我们更倾向于使用获得性骨质增生综合征(AHS)这一名称,并将其分为完全型、不完全型和可能型。在完全型AHS中,胸锁关节骨质增生与轴向和/或外周(骨内膜、骨膜、附着点病、化生)骨质增生以及银屑病样或痤疮样皮肤病相关。此外,这三种表现还伴有不同程度的侵蚀性或非侵蚀性外周和/或轴向关节炎。有时,在轴向骨骼中也会发现与强直性脊柱炎相符的伴随表现。AHS在前胸壁的11个不同部位出现。肋软骨的骨化形式、炎症性附着点病(三种不同附着点)和局灶性骨质增生,以及详细描述的肋骨、锁骨和胸骨的重塑过程具有特殊的诊断意义。AHS可在前胸壁的一个、两个或多个部位同时发病。早期诊断和分析前胸壁的各种表现需要进行传统体层摄影(可能辅以CT)。