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慢性复发性多灶性骨髓炎累及下颌骨:病例报告及文献复习。

Chronic recurrent multifocal osteomyelitis involving the mandible: case reports and review of the literature.

机构信息

University of Queensland, School of Dentistry, 200 Turbot Street, Brisbane, Qld 4000, Australia.

出版信息

Dentomaxillofac Radiol. 2010 Mar;39(3):184-90. doi: 10.1259/dmfr/23060413.

DOI:10.1259/dmfr/23060413
PMID:20203282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3520218/
Abstract

Chronic recurrent multifocal osteomyelitis (CRMO) is an aseptic inflammatory disorder of unknown cause occurring in children and adolescents. It is characterized by multifocal bone lesions with pain and swelling recurring over months to years. Lesions usually involve the metaphyses of the long bones and involvement of the jaw is rare. The clinical presentation, radiographic appearance and histology of a case of CRMO involving the mandible in an 8-year-old girl are documented. The radiographic appearance of another three cases is also described.

摘要

慢性复发性多灶性骨髓炎(CRMO)是一种原因不明的无菌性炎症性疾病,发生于儿童和青少年。其特征为骨骼多处病灶,伴有疼痛和肿胀,反复发作数月至数年。病灶通常累及长骨干骺端,颌骨受累罕见。本文记录了一例 8 岁女孩下颌骨 CRMO 的临床表现、影像学表现和组织病理学特征。还描述了另外三例的影像学表现。

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本文引用的文献

1
Childhood chronic recurrent multifocal osteomyelitis: pamidronate therapy decreases pain and improves vertebral shape.儿童慢性复发性多灶性骨髓炎:帕米膦酸治疗可减轻疼痛并改善椎体形态。
J Rheumatol. 2008 Apr;35(4):707-12. Epub 2008 Mar 15.
2
Bisphosphonate treatment in chronic recurrent multifocal osteomyelitis.双膦酸盐治疗慢性复发性多灶性骨髓炎。
J Pediatr. 2008 Apr;152(4):571-5. doi: 10.1016/j.jpeds.2007.08.047. Epub 2007 Nov 5.
3
Chronic recurrent multifocal osteomyelitis (CRMO) with symmetric involvement of both femora: X-ray, bone scintigram, and MR imaging findings in one case.双侧股骨对称性受累的慢性复发性多灶性骨髓炎(CRMO):1例的X线、骨闪烁显像及磁共振成像表现
J Magn Reson Imaging. 2007 Aug;26(2):422-6. doi: 10.1002/jmri.21015.
4
Pamidronate treatment of chronic noninfectious inflammatory lesions of the mandible in children.帕米膦酸盐治疗儿童下颌骨慢性非感染性炎性病变
J Rheumatol. 2007 Jul;34(7):1585-9.
5
Cyclical intravenous pamidronate treatment affects metaphyseal modeling in growing patients with osteogenesis imperfecta.周期性静脉注射帕米膦酸盐治疗会影响成骨不全症患儿生长过程中的干骺端塑形。
J Bone Miner Res. 2006 Mar;21(3):374-9. doi: 10.1359/JBMR.051207. Epub 2005 Dec 19.
6
Successful treatment of chronic recurrent multifocal osteomyelitis with tumor necrosis factor-alpha blockage.肿瘤坏死因子-α阻断成功治疗慢性复发性多灶性骨髓炎。
Pediatrics. 2005 Nov;116(5):1231-3. doi: 10.1542/peds.2004-2206.
7
Chronic non-bacterial osteomyelitis in children.儿童慢性非细菌性骨髓炎
Ann Rheum Dis. 2005 Feb;64(2):279-85. doi: 10.1136/ard.2004.023838.
8
Osteomyelitis of the mandible.
Neuroimaging Clin N Am. 2003 Aug;13(3):605-18. doi: 10.1016/s1052-5149(03)00044-3.
9
Diagnostic points and possible origin of osteomyelitis in synovitis, acne, pustulosis, hyperostosis and osteitis (SAPHO) syndrome: a radiographic study of 77 mandibular osteomyelitis cases.滑膜炎、痤疮、脓疱病、骨肥厚和骨炎(SAPHO)综合征中骨髓炎的诊断要点及可能起源:77例下颌骨骨髓炎病例的影像学研究
Rheumatology (Oxford). 2003 Nov;42(11):1398-403. doi: 10.1093/rheumatology/keg396. Epub 2003 Jul 16.
10
Radiographic features of bisphosphonate therapy in pediatric patients.双膦酸盐疗法在儿科患者中的影像学特征。
Pediatr Radiol. 2003 Apr;33(4):226-9. doi: 10.1007/s00247-003-0865-1. Epub 2003 Feb 15.