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近端桡骨原发性罗萨伊-多夫曼病伪装成肘部结核

Primary Rosai-Dorfman Disease of the Proximal Radius Masquerading as Tuberculosis of Elbow.

作者信息

Zacharia Balaji, Manicam Karthikeyan

机构信息

Orthopaedics, Government Medical College, Kozhikkode, IND.

出版信息

Cureus. 2020 Apr 27;12(4):e7858. doi: 10.7759/cureus.7858.

Abstract

A 36-year-old female presented with pain and progressive decrease in the range of movements in the left elbow. There was contact with an open case of pulmonary tuberculosis. There were no constitutional symptoms except fever. X-ray showed periarticular osteopenia with destruction of the radial neck and head. MRI scan findings were also consistent with tuberculosis of the elbow. Histopathology examination confirmed the diagnosis of Rosai-Dorfman disease. The patient was treated with glucocorticoid and methotrexate and was asymptomatic after 18 months.

摘要

一名36岁女性因左肘部疼痛及活动范围逐渐减小就诊。她曾接触过一例开放性肺结核病例。除发热外,无全身症状。X线显示关节周围骨质减少,桡骨颈和头部有破坏。MRI扫描结果也与肘部结核相符。组织病理学检查确诊为罗萨伊-多夫曼病。该患者接受了糖皮质激素和甲氨蝶呤治疗,18个月后无症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f793/7255078/fec57ce4f450/cureus-0012-00000007858-i01.jpg

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