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指骨微石症:两例病例报告并复习影像学表现。

Phalangeal microgeodic disease: report of two cases and review of imaging.

机构信息

Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, Hong Kong.

出版信息

Skeletal Radiol. 2013 Mar;42(3):451-5. doi: 10.1007/s00256-012-1561-8. Epub 2013 Jan 8.

DOI:10.1007/s00256-012-1561-8
PMID:23296552
Abstract

Phalangeal microgeodic disease is a rare disease that is frequently (though not invariably) related to cold exposure. In most cases, the clinical and radiographic findings of phalangeal microgeodic disease are sufficient to reach the diagnosis. The magnetic resonance imaging (MRI) findings of phalangeal microgeodic disease have been described in four cases in the English literature with two additional cases presented here. MRI allows a greater appreciation of affected bone areas and adds specificity to radiography with regard to diagnosis. In this sense, MRI is a helpful investigation in those cases of phalangeal microgeodic disease when doubt still exists following clinical and radiographic assessment.

摘要

指骨微囊性病是一种罕见疾病,常与冷暴露有关(尽管并非总是如此)。在大多数情况下,指骨微囊性病的临床和影像学表现足以做出诊断。英文文献中已有四起指骨微囊性病的磁共振成像(MRI)表现的病例描述,这里再介绍两例。MRI 可以更好地评估受影响的骨区域,并在诊断方面为 X 线摄影提供更高的特异性。在这种意义上,当临床和影像学评估仍存在疑问时,MRI 是一种有助于诊断指骨微囊性病的检查方法。

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本文引用的文献

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Whole body MRI in the diagnosis of chronic recurrent multifocal osteomyelitis.全身 MRI 在慢性复发性多灶性骨髓炎诊断中的应用。
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Chilblains and microgeodic disease diagnosed concurrently in a child's toe.
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Rare case of adult-onset phalangeal microgeodic syndrome of the feet.成人足部指骨微陷窝综合征罕见病例。
BMJ Case Rep. 2021 Apr 9;14(4):e242256. doi: 10.1136/bcr-2021-242256.
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Phalangeal microgeodic syndrome in childhood.
Pediatr Radiol. 2018 Aug;48(8):1108-1112. doi: 10.1007/s00247-018-4137-5. Epub 2018 May 7.
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Diffuse phalangeal signal abnormality on magnetic resonance imaging: phalangeal microgeodic disease.
Pediatr Radiol. 2017 Mar;47(3):313-320. doi: 10.1007/s00247-016-3763-z. Epub 2017 Jan 18.
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Microgeodic Disease Affecting the Fingers and Toes in Childhood: A Case Report.儿童期累及手指和足趾的微小地理性疾病:一例报告
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The phalangeal microgeodic syndrome in childhood: awareness leads to diagnosis.儿童指(趾)骨微石症综合征:提高认识有助于诊断。
Eur J Pediatr. 2013 Jun;172(6):763-7. doi: 10.1007/s00431-013-1953-3. Epub 2013 Feb 1.
一名儿童脚趾同时诊断出冻疮和微小地裂病。
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Foot Ankle Int. 2010 Mar;31(3):251-3. doi: 10.3113/FAI.2010.0251.
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Idiopathic chilblains.特发性冻疮。
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MRI of sarcoidosis patients with musculoskeletal symptoms.患有肌肉骨骼症状的结节病患者的磁共振成像
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Phalangeal microgeodic syndrome and pine processionary caterpillar.指骨微大地测量综合征与松异舟蛾毛虫
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