Service de clinique de rhumatologie, CHU Purpan, place Baylac, TSA 40070, 31059 Toulouse cedex 9, France.
Joint Bone Spine. 2010 Jan;77(1):78-80. doi: 10.1016/j.jbspin.2009.11.006. Epub 2009 Dec 21.
We report a case of aseptic osteomyelitis of the frontal bone that developed after a local injury in an 8-year-old girl with psoriasis of the scalp as a predisposing factor. Follow-up was 36 years (1972 to 2008). Enthesitis of the forehead muscles was a plausible pathophysiological mechanism. The symptoms responded to anti-inflammatory medications and resolved immediately after the introduction of etanercept therapy. The most interesting feature of this case of psoriatic osteomyelitis is the involvement of a skull bone.
我们报告了一例 8 岁女孩头皮银屑病为潜在因素,局部外伤后继发的额骨无菌性骨髓炎。随访时间为 36 年(1972 年至 2008 年)。额部肌肉附着点炎可能是一种合理的病理生理学机制。症状对抗炎药物有反应,并且在引入依那西普治疗后立即得到缓解。该例银屑病性骨髓炎最有趣的特征是颅骨受累。