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[用细胞抑制剂和类固醇间歇性治疗的淋巴肉芽肿病和慢性粒细胞白血病患者的股骨头无菌性坏死(作者译)]

[Aseptic necrosis of the femoral head in lymphogranulomatosis and chronic myeloic leukemia treated intermittently with cytostatic agents and steroids (author's transl)].

作者信息

Grub R, Heni N, Baumeister L

出版信息

Radiologe. 1978 Oct;18(10):401-7.

PMID:279939
Abstract

Four male patients with the age from 31--43 years with lymphogranulomatosis and a 23 year old patient with chronic myeloic leukemia developed aseptic necrosis of the femoral head 15 to 69 months after treatment with a combination of cytostatic substances and steroids. In a patient who received maximal prednisone applications aseptic necrosis of the humeral head has been observed also. With increasing life expectancy asceptic bone necrosis due to treatment can appear as a late complication. The early recognition is important. The advancing of this irreversible bone destruction and the associated morbidity can be avoided by immediate cessation of the steroid application. Conservative treatment is indicated.

摘要

4名年龄在31至43岁之间的淋巴肉芽肿男性患者以及1名23岁的慢性粒细胞白血病患者,在接受细胞毒性物质和类固醇联合治疗后15至69个月出现了股骨头无菌性坏死。在一名接受最大剂量泼尼松治疗的患者中,还观察到了肱骨头无菌性坏死。随着预期寿命的增加,治疗引起的无菌性骨坏死可能会作为晚期并发症出现。早期识别很重要。立即停止使用类固醇可避免这种不可逆的骨破坏进展及相关的发病率。应采取保守治疗。

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