三名类风湿性关节炎患者的胫骨远端应力性骨折被误诊为蜂窝织炎。

Insufficiency fractures of the distal tibia misdiagnosed as cellulitis in three patients with rheumatoid arthritis.

作者信息

Straaton K V, López-Méndez A, Alarcón G S

机构信息

Division of Clinical Immunology and Rheumatology, University of Alabama, Birmingham 35294.

出版信息

Arthritis Rheum. 1991 Jul;34(7):912-5. doi: 10.1002/art.1780340718.

DOI:10.1002/art.1780340718

Abstract

We describe 3 patients with rheumatoid arthritis who presented with diffuse pain, swelling, and erythema of the distal aspect of the lower extremity, suggestive of either cellulitis or thrombophlebitis, but were found to have insufficiency fractures of the distal tibia. The value of technetium-99m diphosphonate bone scintigraphy in the early recognition of these fractures and a possible explanation for the associated inflammatory symptoms are discussed.

摘要

我们描述了3例类风湿关节炎患者，他们表现为下肢远端弥漫性疼痛、肿胀和红斑，提示蜂窝织炎或血栓性静脉炎，但最终发现是胫骨远端应力性骨折。本文讨论了99m锝二膦酸盐骨闪烁显像在早期识别这些骨折中的价值以及对相关炎症症状的一种可能解释。

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Insufficiency fractures of the distal tibia misdiagnosed as cellulitis in three patients with rheumatoid arthritis.三名类风湿性关节炎患者的胫骨远端应力性骨折被误诊为蜂窝织炎。

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