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自闭症儿童坏血病:MRI 表现。

Scurvy in an autistic child: MRI findings.

机构信息

Department of Radiology, Cooper Medical School of Rowan University, Cooper University Hospital, One Cooper Plaza, B23, Camden, NJ, 08103, USA,

出版信息

Pediatr Radiol. 2013 Oct;43(10):1396-9. doi: 10.1007/s00247-013-2688-z. Epub 2013 Apr 19.

DOI:10.1007/s00247-013-2688-z
PMID:23604286
Abstract

Scurvy results from a deficiency of vitamin C and is rarely seen in the United States. We describe the MRI findings of a case of scurvy in an autistic child with food-avoidant behavior. Advanced imaging is rarely performed in clinically well-understood disease entities such as scurvy. Typical radiographic findings are well described leading to definitive diagnosis, although the findings can be missed or misinterpreted given the rarity of scurvy in daily practice. To our knowledge, MRI features of scurvy in children in the US have been described in only one case report. This case of scurvy in an autistic child with food-avoidant behavior emphasizes that classic nutritional deficiencies, despite their rarity, must be included in the differential diagnosis of at-risk populations.

摘要

坏血病是由于维生素 C 缺乏引起的,在美国很少见。我们描述了一例有回避食物行为的自闭症儿童患坏血病的 MRI 表现。在像坏血病这样临床认识清楚的疾病中,很少进行高级影像学检查。典型的影像学表现已有明确描述,可明确诊断,尽管由于坏血病在日常实践中很少见,这些表现可能会被遗漏或误解。据我们所知,仅在一篇病例报告中描述过美国儿童坏血病的 MRI 特征。此例有回避食物行为的自闭症儿童患坏血病强调,尽管罕见,但经典的营养缺乏症必须纳入高危人群的鉴别诊断中。

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Scurvy in an autistic child: MRI findings.自闭症儿童坏血病:MRI 表现。
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2
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引用本文的文献

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Am J Case Rep. 2023 Jul 19;24:e940770. doi: 10.12659/AJCR.940770.
2
Scurvy in A Malnourished Child: Atypical Imaging Findings.营养不良儿童坏血病:非典型影像学表现。
J Radiol Case Rep. 2022 Sep 1;16(9):11-15. doi: 10.3941/jrcr.v16i9.4545. eCollection 2022 Sep.
3
A Narrative Review on Pediatric Scurvy: The Last Twenty Years.儿童坏血病:近 20 年的研究进展述评

本文引用的文献

1
Magnetic resonance imaging appearance of scurvy with gelatinous bone marrow transformation.坏血病伴胶状骨髓转变的磁共振成像表现。
Skeletal Radiol. 2012 Mar;41(3):357-60. doi: 10.1007/s00256-011-1350-9. Epub 2012 Jan 6.
2
Scurvy: MRI appearances.坏血病:磁共振成像表现
Rheumatology (Oxford). 2008 Jul;47(7):1109. doi: 10.1093/rheumatology/ken160. Epub 2008 May 22.
3
MR imaging in a child with scurvy: a case report.一名患坏血病儿童的磁共振成像:病例报告
Nutrients. 2022 Feb 6;14(3):684. doi: 10.3390/nu14030684.
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Vitamin C deficiency mimicking inflammatory bone disease of the hand.维生素 C 缺乏症酷似手部炎性骨病。
Pediatr Rheumatol Online J. 2020 Jun 9;18(1):45. doi: 10.1186/s12969-020-00439-4.
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Scurvy may occur even in children with no underlying risk factors: a case report.即使在没有潜在风险因素的儿童中也可能发生坏血病:一例病例报告。
J Med Case Rep. 2020 Jan 24;14(1):18. doi: 10.1186/s13256-020-2341-z.
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Autism, Gastrointestinal Symptoms and Modulation of Gut Microbiota by Nutritional Interventions.自闭症、胃肠道症状和营养干预对肠道微生物群的调节。
Nutrients. 2019 Nov 18;11(11):2812. doi: 10.3390/nu11112812.
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Scurvy in an autistic child: early disease on MRI and bone scintigraphy can mimic an infiltrative process.一名自闭症儿童患坏血病:MRI和骨闪烁显像上的早期病变可模拟浸润性病变。
BJR Case Rep. 2015 Jul 7;1(3):20150148. doi: 10.1259/bjrcr.20150148. eCollection 2015.
8
Macroscopic features of scurvy in human skeletal remains: A literature synthesis and diagnostic guide.人类骨骼遗骸中坏血病的宏观特征:文献综述与诊断指南
Am J Phys Anthropol. 2018 Dec;167(4):876-895. doi: 10.1002/ajpa.23699. Epub 2018 Oct 9.
9
Changes in Food Selectivity in Children with Autism Spectrum Disorder.自闭症谱系障碍儿童食物选择性的变化
J Autism Dev Disord. 2017 Feb;47(2):439-446. doi: 10.1007/s10803-016-2963-6.
10
Modern American scurvy - experience with vitamin C deficiency at a large children's hospital.现代美国坏血病——一家大型儿童医院维生素C缺乏症的诊治经验
Pediatr Radiol. 2017 Feb;47(2):214-220. doi: 10.1007/s00247-016-3726-4. Epub 2016 Oct 24.
Korean J Radiol. 2007 Sep-Oct;8(5):443-7. doi: 10.3348/kjr.2007.8.5.443.
4
Unilateral proptosis and extradural hematoma in a child with scurvy.一名患坏血病儿童的单侧眼球突出及硬膜外血肿
Pediatr Radiol. 2007 Sep;37(9):937-9. doi: 10.1007/s00247-007-0543-9. Epub 2007 Jul 7.
5
Scurvy and rickets masked by chronic neurologic illness: revisiting "psychologic malnutrition".慢性神经疾病掩盖下的坏血病和佝偻病:重新审视“心理性营养不良”
Pediatrics. 2007 Mar;119(3):e783-90. doi: 10.1542/peds.2006-1071.
6
Scurvy in a 10-month-old boy.一名10个月大男童患坏血病。
Int J Dermatol. 2007 Feb;46(2):194-8. doi: 10.1111/j.1365-4632.2007.02856.x.
7
An orange a day keeps the doctor away: scurvy in the year 2000.一天一橙子,医生远离我:2000年的坏血病。
Pediatrics. 2001 Sep;108(3):E55. doi: 10.1542/peds.108.3.e55.