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[一名儿科患者手部的肢骨纹状肥大症]

[Melorheostosis of the hand in a pediatric patient].

作者信息

Masquijo Julio Javier, Allende Victoria

机构信息

Departamento de Ortopedia y Traumatología Infantil, Sanatorio Allende, Córdoba.

出版信息

Arch Argent Pediatr. 2010 Dec;108(6):e121-5. doi: 10.1590/S0325-00752010000600013.

Abstract

Melorheostosis is a rare benign sclerosing bone dysplasia. Its etiology is unknown. Both sexes can be affected. Sites most frequently involved are the long bones of the lower limbs and the adjacent soft tissue structures. The disease is unusual in the upper limbs, and few cases have been reported in the hand. We report the case of a 7-year-old girl who had typical features of melorheostosis in the right hand. Diagnosis was made by conventional radiography and bone scintigraphy. Magnetic resonance contributed to the assessment of soft tissue lesions. Medical treatment allowed pain relief and range of motion improvement. Because melorheostosis has a variable tendency towards progression and association with tumors, a close follow-up of these patients is recommended.

摘要

肢骨纹状肥大是一种罕见的良性骨硬化发育异常。其病因不明。男女均可受累。最常累及的部位是下肢长骨及相邻的软组织结构。该疾病在上肢较为少见,手部报道的病例较少。我们报告一例7岁女孩右手具有典型肢骨纹状肥大特征的病例。通过传统X线摄影和骨闪烁显像进行诊断。磁共振成像有助于软组织病变的评估。药物治疗可缓解疼痛并改善活动范围。由于肢骨纹状肥大有进展及与肿瘤相关的可变倾向,建议对这些患者进行密切随访。

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