Cornejo Adam, Kerbleski Gerard J
PGY1 DVA NM, Western University of Health Sciences, Pomona, CA.
Surgeon, Western University of Health Sciences, Pomona, CA.
J Foot Ankle Surg. 2018 Nov-Dec;57(6):1259-1262. doi: 10.1053/j.jfas.2018.03.032. Epub 2018 Jul 9.
"Black bone disease" is a term commonly used to describe a condition characterized by a blue/green/brown discoloration to the bone that often resembles infracted or necrotic bone. The chronic use of minocycline or tetracycline has been reported in previous data as a cause of this discoloration to the skin, bone, and teeth. However, the occurrence in bone is rare, with few studies reported regarding the discoloration. We previously presented a case of this condition encountered during cheilectomy of the first metatarsophalangeal joint in a patient who had had long-term usage of minocycline for adult acne. Two years after the initial case, the patient returned for correction of a hammertoe deformity on the second left proximal phalanx of the same foot. We present the findings and photographs from the second surgery. In addition, we have provided the relevant case data and figures from the first case for ease of comparison.
“黑骨病”是一个常用术语,用于描述一种以骨骼呈现蓝/绿/棕色变色为特征的病症,这种变色通常类似于骨折或坏死的骨骼。先前的数据报道,长期使用米诺环素或四环素是导致皮肤、骨骼和牙齿出现这种变色的原因。然而,骨骼出现这种情况较为罕见,关于这种变色的研究报道很少。我们之前曾介绍过一例在第一跖趾关节唇成形术过程中遇到的这种病症,该患者因成人痤疮长期使用米诺环素。首例病例出现两年后,该患者因同一足部左第二近端趾骨锤状趾畸形前来矫正。我们展示了第二次手术的结果和照片。此外,为便于比较,我们还提供了首例病例的相关病例数据和图片。