Marshall L R, Salib R J, Mitchell T E, Moore I
ENT Department, Poole Hospital NHS Trust, Poole, UK.
J Laryngol Otol. 2009 Feb;123(2):245-7. doi: 10.1017/S0022215108002946. Epub 2008 Jun 5.
We report a case of infection against a background of pre-existing cranial fasciitis.
Case report and review of world literature on cranial fasciitis.
Cranial fasciitis of childhood is a benign condition and a rare variant of nodular fasciitis. We present the case of a 10-week-old infant with symptoms and signs consistent with a subperiosteal abscess complicating acute mastoiditis. Subsequent findings showed this to be an infection against a background of pre-existing cranial fasciitis.
To our knowledge, this is the first such reported case in the literature. Knowledge of the distinctive histopathological features, coupled with an awareness of the condition, are crucial to establishing a definitive diagnosis of cranial fasciitis and, in turn, to instituting appropriate management. The aetiopathogenesis of the condition remains unclear.
我们报告一例在既往存在颅骨筋膜炎背景下发生感染的病例。
病例报告及对世界范围内有关颅骨筋膜炎文献的综述。
儿童颅骨筋膜炎是一种良性疾病，是结节性筋膜炎的罕见变异型。我们报告一例10周龄婴儿，其症状和体征符合急性乳突炎并发骨膜下脓肿。后续检查发现这是一例在既往存在颅骨筋膜炎背景下发生的感染。
据我们所知，这是文献中首次报道的此类病例。了解其独特的组织病理学特征并认识该疾病，对于明确颅骨筋膜炎的诊断以及进而采取适当的治疗至关重要。该疾病的病因发病机制仍不清楚。
