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4 岁患儿多系统受累的 Erdheim-Chester 病。

Erdheim-Chester disease with multisystem involvement in a 4-year-old.

机构信息

Department of Radiology, Ewha Womans University School of Medicine, Seoul, South Korea.

出版信息

Pediatr Radiol. 2012 May;42(5):632-5. doi: 10.1007/s00247-011-2235-8. Epub 2011 Aug 31.

DOI:10.1007/s00247-011-2235-8
PMID:21879308
Abstract

Erdheim-Chester disease is a rare form of non-Langerhans histiocytosis of unknown origin occurring mainly in adults. It is extremely rare in children. We report a case of a 4-year-old boy with Erdheim-Chester disease that initially presented as hemifacial palsy and bone pain with multisystem involvement. We describe radiographic findings of bones that show characteristic bilateral symmetrical osteosclerosis with atypical osteolytic lesions in addition to CT findings for pulmonary involvement and MR findings for intracranial lesions.

摘要

厄尔-道伊姆-切斯特病是一种罕见的原因不明的非朗格汉斯组织细胞增生症,主要发生于成人,在儿童中极为罕见。我们报告了一例 4 岁男孩患厄尔-道伊姆-切斯特病的病例,其最初表现为单侧面瘫和骨痛,并伴有多系统受累。我们描述了骨骼的放射学表现,除了肺部受累的 CT 表现和颅内病变的磁共振表现外,还显示出特征性的双侧对称性骨硬化伴非典型溶骨性病变。

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本文引用的文献

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Cerebral, facial, and orbital involvement in Erdheim-Chester disease: CT and MR imaging findings.脑、面和眶部 Erdheim-Chester 病:CT 和 MR 成像表现。
Radiology. 2010 May;255(2):586-94. doi: 10.1148/radiol.10090320.
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Erdheim-Chester disease in childhood: a challenging diagnosis and treatment.儿童期 Erdheim-Chester 病:具有挑战性的诊断与治疗
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Unusual presentation of Erdheim-Chester disease in a child with acute lymphoblastic leukemia.一名急性淋巴细胞白血病患儿罕见的厄德里希-切斯特病表现。
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Erdheim-Chester disease with rare radiological features in a 14-year old girl with pre-B Acute Lymphocytic Leukemia and Diabetes Mellitus.一名患有前体B细胞急性淋巴细胞白血病和糖尿病的14岁女孩患有的具有罕见放射学特征的厄登海姆-切斯特病。
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Erdheim-Chester Disease: a comprehensive review of the literature.厄德海姆-切斯特病:文献综述。
Orphanet J Rare Dis. 2013 Sep 8;8:137. doi: 10.1186/1750-1172-8-137.
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Interstitial lung diseases-can pathologists arrive at an etiology-based diagnosis? A critical update.间质性肺疾病——病理学家能否做出病因诊断?批判性更新。
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骨受累于厄尔德海姆-切斯特病:影像学表现包括骨膜炎和部分骨骺受累。
Radiology. 2006 Feb;238(2):632-9. doi: 10.1148/radiol.2382041525. Epub 2005 Dec 21.
4
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Pulmonary involvement with Erdheim-Chester disease: radiographic and CT findings.肺累及厄氏-切斯特病:影像学及CT表现
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