Rheumatology Department, Nancy University Hospital, 54511 Vandœuvre-lès-Nancy cedex, France.
Joint Bone Spine. 2013 Mar;80(2):217-20. doi: 10.1016/j.jbspin.2012.10.021. Epub 2013 Mar 1.
We managed three patients who had both palmar fasciitis and polyarthritis coexisting with gynecological malignancies. The first patient was followed up for 3 years, during which she experienced mutilating osteolysis of the fingers and very severe inflammation as assessed by osteoarticular ultrasonography. The second patient had active synovitis by ultrasonography without structural joint damage. Finally, in the last patient, magnetic resonance imaging showed synovitis and extensor tenosynovitis of the fingers. The many differential diagnoses of this paraneoplastic syndrome are discussed.
我们共管理了 3 例同时患有掌腱膜炎和多发性关节炎且合并妇科恶性肿瘤的患者。第 1 例患者随访 3 年，期间经历了手指破坏性溶骨性骨病和骨关节炎超声评估的非常严重的炎症。第 2 例患者的超声检查显示有活跃性滑膜炎，但没有结构关节损伤。最后，在最后 1 例患者中，磁共振成像显示手指滑膜炎和伸肌腱腱鞘炎。讨论了这种副肿瘤综合征的许多鉴别诊断。
