Fuchs G A
Orthopädische Klinik Bayreuth.
Z Orthop Ihre Grenzgeb. 1991 Nov-Dec;129(6):542-8. doi: 10.1055/s-2008-1040287.
It is shown in the example of a 36 year old female patient with progressive but mainly carpotarsal osteolysis to analyse the radiological and clinical delimitation to other osteolysis-syndromes. Over 35 years during infancy and adolescence the clinical picture was incorrectly related to the "Freeman-Sheldon-Syndrome" and was twice the cause for fruitless attempts to classify. Although no standardized classification or rather grouping of the osteolysis exist, now with means of systematically radiological diagnostic and by long clinical follow-up of over 35 years a definite enrollment of the case represented, proved to be an extreme rare form of idiopathic multicentric osteolysis with nephropathy. It can be listed now as the 13th case in the literature.
以一名36岁进行性但主要为腕跗骨骨质溶解的女性患者为例,分析其与其他骨质溶解综合征的影像学和临床鉴别。在婴儿期和青春期的35年里,临床表现被错误地归因于“弗里曼 - 谢尔顿综合征”,并且两次导致分类无果。尽管目前尚无骨质溶解的标准化分类或确切分组,但通过系统的影像学诊断方法以及长达35年以上的长期临床随访,该病例得以明确归类,被证明是一种极为罕见的伴有肾病的特发性多中心骨质溶解形式。目前它可列为文献中的第13例。