Fink Adam Z, Gittler Julia K, Nakrani Radhika N, Alis Jonathan, Blumfield Einat, Levin Terry L
Department of Radiology, Division of Pediatric Radiology, Montefiore Medical Center, Bronx, NY, United States.
The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, NY, NY, United States.
Clin Imaging. 2018 May-Jun;49:17-36. doi: 10.1016/j.clinimag.2017.10.015. Epub 2017 Oct 31.
Many childhood diseases often present with skin abnormalities with which radiologists are largely unfamiliar. Knowledge of associated dermatologic manifestations may aid the radiologist in confirming the diagnosis and recommending targeted imaging of affected organs.
We review the imaging findings in childhood diseases associated with dermatologic manifestations.
Diseases include dermatologic findings which herald underlying malignancy (Neuroblastoma, leukemia/lymphoma, Langerhans cell histiocytosis),are associated with risk of malignancy (Epidermolysis Bullosa, basal cell nevus syndrome, Cowden's syndrome, Tuberous Sclerosis),or indicate a systemic inflammatory/immune disorder (Kawasaki's disease, Henoch Schonlein Purpura, systemic lupus erythematosus, scleroderma, sarcoidosis, dermatomyositis and immune thrombocytopenic purpura).
Familiarity with pertinent findings in childhood diseases presenting with dermatologic manifestations in childhood diseases aids the radiologist in confirming the diagnosis and guiding imaging workup.
许多儿童疾病常伴有皮肤异常表现,而放射科医生对此大多并不熟悉。了解相关的皮肤表现可能有助于放射科医生确诊疾病并建议对受影响器官进行针对性成像检查。
我们回顾了与皮肤表现相关的儿童疾病的影像学表现。
这些疾病包括预示潜在恶性肿瘤的皮肤表现(神经母细胞瘤、白血病/淋巴瘤、朗格汉斯细胞组织细胞增多症)、与恶性肿瘤风险相关的表现(大疱性表皮松解症、基底细胞痣综合征、考登综合征、结节性硬化症)或提示全身性炎症/免疫紊乱的表现(川崎病、过敏性紫癜、系统性红斑狼疮、硬皮病、结节病、皮肌炎和免疫性血小板减少性紫癜)。
熟悉儿童疾病中伴有皮肤表现的相关表现有助于放射科医生确诊疾病并指导成像检查工作。