Mende B, Stein G, Kreysel H W
Rofo. 1985 Feb;142(2):189-92. doi: 10.1055/s-2008-1052628.
Bone lesion is a frequent organic manifestation in leprosy. Osseal destructions caused by granulomatous process induced by M. leprae are so-called specific lesions in contrast to non-specific lesions based on nerval or arterial diseases. The specific osseal alterations are characterized by cystic brightenings in roentgenograms while non-specific osseal changes show absorption to bone structure as akroosterolysis and osteoporosis. Typical radiologic findings in different stages of mutilation are demonstrated.
骨病变是麻风病常见的器质性表现。由麻风杆菌引起的肉芽肿过程导致的骨质破坏是所谓的特异性病变,与基于神经或动脉疾病的非特异性病变形成对比。特异性骨质改变在X线片上表现为囊性透亮区,而非特异性骨质改变则表现为骨质结构吸收,如末端骨质溶解和骨质疏松。文中展示了不同致残阶段的典型影像学表现。