手部特发性肿瘤性钙化症：一例报告
Idiopathic tumoral calcinosis in hand: a case report.
作者信息
Xu Chris, Potter Josephine Alexa, Carter Christopher David, Lang Clayton Miles Cooper
机构信息
Department of Plastic and Reconstructive Surgery, The Queen Elizabeth Hospital, Woodville South, South Australia, Australia.
Department of Anatomical Pathology, SA Pathology and Department of Pathology, Flinders University, South Australia, Australia.
出版信息
Eplasty. 2014 Jul 24;14:e28. eCollection 2014.
OBJECTIVE
Tumoral calcinosis is an uncommon lesion, composed of ectopic calcified tissue, most commonly seen in the large joints of the hips, knees, shoulders, and elbows. The involvement of the hand in a healthy patient is extremely rare, and therefore this condition can cause diagnostic confusion. The purpose of this report is to describe one case of idiopathic tumoral calcinosis that occurred in the left hand of a 35-year-old healthy female patient.
METHODS
The patient presented with 2-day history of acutely swelling and painful left hand middle finger metacarpal phalangeal joint without any precipitants.
RESULTS
All biochemical, radiological, and histopathological evidence suggested idiopathic tumoral calcinosis of the hand.
CONCLUSIONS
In this case, surgery provided the patient with instant symptomatic relief and full functional recovery of that joint.
目的
肿瘤性钙化是一种罕见的病变，由异位钙化组织构成，最常见于髋、膝、肩和肘等大关节。健康患者手部受累极为罕见，因此这种情况可能导致诊断混淆。本报告的目的是描述一例发生在一名35岁健康女性患者左手的特发性肿瘤性钙化病例。
方法
患者左手中指掌指关节急性肿胀疼痛2天，无任何诱发因素。
结果
所有生化、放射学和组织病理学证据均提示手部特发性肿瘤性钙化。
结论
在本病例中，手术使患者即刻症状缓解，该关节功能完全恢复。
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