小儿色素绒毛结节性滑膜炎，酷似脓毒性髋关节炎。
Pediatric pigmented villonodular synovitis mimicking a septic hip.
机构信息
Division of Rheumatology, School of Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA 15201, USA.
出版信息
J Clin Rheumatol. 2010 Mar;16(2):71-3. doi: 10.1097/RHU.0b013e3181cf8657.
Abstract
We describe a child with pigmented villonodular synovitis initially treated for a presumed hip infection. The correct diagnosis was not made until 2(1/2) years later on a second admission. This is a rare disease with vague presenting symptoms that requires a high index of suspicion. Magnetic resonance imaging and tissue biopsy are usually needed for a definitive diagnosis. Surgery is the primary treatment option; however, the patient described was unusual in that she did well to date with conservative measures.
摘要
我们描述了一名患有色素绒毛结节性滑膜炎的儿童，该儿童最初被误诊为髋关节感染。直到第二次入院时的 2 年半后才做出正确诊断。这是一种罕见疾病，症状模糊，需要高度怀疑。通常需要磁共振成像和组织活检才能做出明确诊断。手术是主要的治疗选择；然而，所描述的患者不同寻常，她迄今为止通过保守治疗效果良好。
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