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一名患有镜手畸形的年轻患者的侵蚀性类风湿关节炎。

Erosive rheumatoid arthritis in a young patient with mirror hand.

作者信息

Sheikh Ali Sibtain Farooq, Wong Ernest

机构信息

Rheumatology, Furness General Hospital, Barrow-in-Furness, UK.

Rheumatology, Queen Alexandra Hospital, Portsmouth, UK.

出版信息

BMJ Case Rep. 2019 Feb 28;12(2):e227739. doi: 10.1136/bcr-2018-227739.

DOI:10.1136/bcr-2018-227739
PMID:30824464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6398815/
Abstract

Mirror hand is a congenital anomaly characterised by duplication of the ulnar ray, resulting in polydactyly and functional disability of the hand. It can cause arthralgias and weakness in intrinsic muscles of the hand. We present a young woman who had a surgically corrected mirror hand and subsequently developed aggressive rheumatoid arthritis, which increased her limitations to a significant degree. Early diagnosis and treatment in such cases is very important to prevent long-term disability.

摘要

镜手是一种先天性畸形,其特征为尺侧多指重复,导致多指畸形和手部功能残疾。它可引起关节疼痛和手部固有肌无力。我们报告一名年轻女性,她接受了手术矫正的镜手,随后患上侵袭性类风湿关节炎,这在很大程度上增加了她的功能受限。在此类病例中早期诊断和治疗对于预防长期残疾非常重要。

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本文引用的文献

1
Ulnar dimelia-diagnosis and management of a rare congenital anomaly of the upper limb.尺侧重复畸形——一种罕见的上肢先天性异常的诊断与处理
J Orthop. 2015 Feb 18;12(Suppl 1):S121-4. doi: 10.1016/j.jor.2015.01.027. eCollection 2015 Oct.
2
Ulnar dimelia without duplicated arterial anatomy.尺侧肢体重复畸形且无重复动脉解剖结构。
J Bone Joint Surg Br. 2010 Feb;92(2):293-6. doi: 10.1302/0301-620X.92B2.23057.
3
Rheumatoid arthritis: a practical guide to state-of-the-art imaging, image interpretation, and clinical implications.类风湿性关节炎:最新影像学检查、图像解读及临床意义实用指南
Radiographics. 2005 Mar-Apr;25(2):381-98. doi: 10.1148/rg.252045111.
4
[Ulnar dimelia: imaging modalities and surgical implications].[尺骨重复畸形:影像学检查方法及手术意义]
J Radiol. 2000 Mar;81(3):219-22.