Bansal Samarjit Singh, Jokhi Vispi H, Ponde Saurabh Vilas, Kaushik Nitin, Sonawane Chandrashekhar
Department of Orthopaedics, ESIPGIMSR and MGM Hospital, Parel, Mumbai-12. India.
J Orthop Case Rep. 2014 Apr-Jun;4(2):78-80. doi: 10.13107/jocr.2250-0685.174.
Malakoplakia is chronic granulomatous disorder resulting from an abnormal immunological response resulting in accumulation of histiocytes [1].It normally involves the urinary bladder, colon, skin etc. But bone is rarely involved. Only seven cases have been reported in the literature. Ours is the first case involving the tibia.
We report a rare case of malakoplakia of bone of upper end tibia in a 24 year old female with 1 month complaints of pain in the knee.
The importance of this case report lies in the fact that malakoplakia can mimic benign lytic lesion and we need not be over aggressive while treating these patients. These can be treated with course of antibiotics [2].
软斑病是一种慢性肉芽肿性疾病,由异常免疫反应导致组织细胞积聚引起[1]。它通常累及膀胱、结肠、皮肤等部位。但骨骼很少受累。文献中仅报道过7例。我们的病例是首例累及胫骨的病例。
我们报告一例罕见的24岁女性胫骨上端骨软斑病病例,该患者有1个月的膝关节疼痛主诉。
本病例报告的重要性在于,软斑病可模仿良性溶骨性病变,在治疗这些患者时我们不必过于激进。这些病例可用抗生素疗程进行治疗[2]。