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一例骨软化症:未脱钙骨活检的关键作用。

A case of osteomalacia: the pivotal role of the non-decalcified bone biopsy.

作者信息

Kim G S, Bergfeld M A, Avioli L V, Teitelbaum S L

出版信息

Korean J Intern Med. 1988 Jul;3(2):132-5. doi: 10.3904/kjim.1988.3.2.132.

DOI:10.3904/kjim.1988.3.2.132
PMID:3154190
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4534953/
Abstract

A postmenopausal osteopenic woman presented with recurrent stress fractures of the feet and normal parameters of mineral homeostasis. Despite the absence of biochemical or radiographic evidence, severe osteomalacia was documented by histomorphometric analysis of a tetracycline labeled, non-decalcified bone biopsy. This observation underscores the need for specific bone biopsy confirmation of skeletal disease in patients with fracture-prone osteopenia.

摘要

一位绝经后骨质减少的女性出现足部反复应力性骨折,且矿物质稳态参数正常。尽管缺乏生化或影像学证据,但通过对四环素标记的未脱钙骨活检进行组织形态计量学分析,证实存在严重骨软化症。这一观察结果强调了对于易骨折的骨质减少患者,需要通过特定的骨活检来确诊骨骼疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4e8/4534953/7ac1fb8db3f9/kjim-3-2-132-7f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4e8/4534953/7ac1fb8db3f9/kjim-3-2-132-7f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4e8/4534953/7ac1fb8db3f9/kjim-3-2-132-7f1.jpg

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Bone Rep. 2023 Sep 24;19:101715. doi: 10.1016/j.bonr.2023.101715. eCollection 2023 Dec.

本文引用的文献

1
[HISTOLOGICAL MEASURE OF THE VOLUME AND RESORPTION OF BONE JOINTS].[骨关节体积与吸收的组织学测量]
Pathol Biol. 1964 Dec;12:1238-43.
2
ROENTGEN APPEARANCE OF THE SKELETON IN OSTEOMALACIA AND RICKETS.骨软化症和佝偻病中骨骼的X线表现
Am J Roentgenol Radium Ther Nucl Med. 1964 May;91:955-72.
3
Pseudofractures in the absence of osteomalacia.无骨软化症时的假性骨折
Skeletal Radiol. 1982;8(1):17-9. doi: 10.1007/BF00361362.
4
Postmenopausal osteoporosis. A heterogeneous disorder as assessed by histomorphometric analysis of Iliac crest bone from untreated patients.绝经后骨质疏松症。通过对未经治疗患者的髂嵴骨进行组织形态计量学分析评估,这是一种异质性疾病。
Am J Med. 1982 Feb;72(2):193-202. doi: 10.1016/0002-9343(82)90810-5.
5
Pathological manifestations of osteomalacia and rickets.骨软化症和佝偻病的病理表现。
Clin Endocrinol Metab. 1980 Mar;9(1):43-62. doi: 10.1016/s0300-595x(80)80020-x.
6
Quantitative structural analysis of human cancellous bone.人松质骨的定量结构分析
Acta Anat (Basel). 1970;75(1):54-66. doi: 10.1159/000143440.
7
Tetracycline double-labeling of iliac trabecular bone in 41 normal adults.41名正常成年人髂骨小梁骨的四环素双标记
Calcif Tissue Res. 1978 Dec 8;26(2):99-102. doi: 10.1007/BF02013242.
8
Osteomalacia: current concepts.
Ann Intern Med. 1978 Dec;89(6):966-82. doi: 10.7326/0003-4819-89-6-966.
9
Methyl-methacrylate as an embedding medium in histopathology.甲基丙烯酸甲酯作为组织病理学中的一种包埋介质。
Histopathology. 1977 Sep;1(5):319-30. doi: 10.1111/j.1365-2559.1977.tb01671.x.