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一名接受血液透析的终末期肾病患者的尿毒症性骨性狮面症

Uremic Leontiasis Ossea in a Patient With End-Stage Renal Disease in Hemodialysis.

作者信息

Nasra Karim, Dervishi Mario, Li Shuo, Lincoln Denis R

机构信息

Radiology, Ascension Providence Hospital, Southfield, USA.

Radiology, American University of the Caribbean School of Medicine, Cupecoy, SXM.

出版信息

Cureus. 2020 Oct 20;12(10):e11060. doi: 10.7759/cureus.11060.

Abstract

Uremic leontiasis ossea is a rare condition, reported in patients with severe renal disease. Patients present with progressive enlargement of facial bones - in particular, the maxillary and mandibular bones. Rarity of this condition leaves clinicians puzzled on initial evaluation and management. Herein, we present a 31-year-old man diagnosed with uremic leontiasis ossea. The report aims to review the pathophysiology of the condition as described in the literature, the patient presentation and imaging modalities used to investigate, and classical findings seen in patients with uremic leontiasis ossea. Finally, we briefly touch base on the reported regimens used to prevent and manage this condition.

摘要

尿毒症性骨质狮面是一种罕见病症,见于重症肾病患者。患者表现为面部骨骼进行性增大,尤其是上颌骨和下颌骨。这种病症的罕见性使得临床医生在初步评估和处理时感到困惑。在此,我们报告一名31岁被诊断为尿毒症性骨质狮面的男性患者。本报告旨在回顾文献中所述该病症的病理生理学、患者表现、用于检查的影像学方法以及尿毒症性骨质狮面患者的典型表现。最后,我们简要提及用于预防和处理该病症的报告方案。

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