Angelini Andrea, Mavrogenis Andreas F, Rimondi Eugenio, Rossi Giuseppe, Ruggieri Pietro
Department of Orthopedics, University of Bologna, Istituto Ortopedico Rizzoli, Via Pupilli, 40136, Bologna, Italy.
First Department of Orthopaedics, Athens University Medical School, ATTIKON University Hospital, Athens, Greece.
J Orthop Traumatol. 2017 Jun;18(2):83-90. doi: 10.1007/s10195-016-0434-7. Epub 2016 Oct 21.
This review summarizes current concepts in the diagnosis and management of the patients with eosinophilic granuloma. Given the benign biology, the clinical course, and the pediatric group of patients that this condition more commonly affects, a treatment approach that carries a lower risk of complications while ensuring a successful cure is desirable. Variable treatment options have been reported with satisfactory results and a recurrence rate of less than 20 %. In this setting, symptomatic lesions that are accessible in the spine or the extremities may be treated with intralesional methylprednisolone injection after tissue biopsy for histological diagnosis.
本综述总结了嗜酸性肉芽肿患者诊断和管理的当前概念。鉴于该疾病的良性生物学特性、临床病程以及更常见于儿童患者群体,一种在确保成功治愈的同时具有较低并发症风险的治疗方法是可取的。已报道了多种治疗选择,结果令人满意,复发率低于20%。在这种情况下,对于脊柱或四肢可触及的有症状病变,可在进行组织活检以进行组织学诊断后,采用病灶内注射甲基强的松龙进行治疗。