一名患有镰状细胞病的年轻成年人的迟发性髋关节疾病诊断
Tardive hip disease diagnosis in a young adult with sickle cell disease.
作者信息
Bokolombe A A, Samato F, Lukinu T, Ekila M B, Aloni M N
机构信息
Department of Surgery, Military Hospital of Kinshasa, Camp Kokolo, Kinshasa, Democratic Republic of Congo.
出版信息
Afr Health Sci. 2013 Mar;13(1):171-3. doi: 10.4314/ahs.v13i1.25.
BACKGROUND
Hip disease is a complication of Sickle Cell Disease most commonly occurs during adolescence and early adult life that constitutes from 3.3% to 26.7% % of cases in SCD patients. Damage to mature epiphysis may cause persistent symptoms requiring surgery which may need revision if it becomes loose with wear.
CASE PRESENTATION
We report a 27-year-old male who was diagnosed with hip disease following investigations for persistent pain in right hip associated with limp and painful limitation of movement. Avascular necrosis of the right femoral head was identified on a hip X-ray.
CONCLUSION
Further investigation will be necessary to identify risk factors in SCD Congolese patient and each SCD patient must be screened for predisposing factors.
背景
髋关节疾病是镰状细胞病的一种并发症，最常发生在青春期和成年早期，在镰状细胞病患者中占3.3%至26.7%。成熟骨骺受损可能导致持续症状，需要手术治疗，如果假体因磨损松动可能需要翻修。
病例介绍
我们报告一名27岁男性，因右髋持续疼痛、跛行和活动疼痛受限而接受检查后被诊断为髋关节疾病。髋部X光片显示右股骨头缺血性坏死。
结论
有必要进一步调查以确定刚果镰状细胞病患者的危险因素，并且必须对每例镰状细胞病患者进行易感因素筛查。
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