[急性钙化性关节炎——手部脓性关节炎的鉴别诊断]
[Acute calcific periarthritis - a differential diagnosis of pyoarthrosis of the hand].
作者信息
Illg Claudius, Schäfer Ruth Christine, Daigeler Adrien, Krauss Sabrina
机构信息
Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie, BG Unfallklinik Tübingen, Eberhard Karls Universität Tübingen.
出版信息
Handchir Mikrochir Plast Chir. 2021 Jun;53(3):323-325. doi: 10.1055/a-1333-2419. Epub 2021 Jan 19.
BACKGROUND
The acute calcific periarthritis is caused by hydroxyapatite deposits in the periarticular soft tissue.The symptoms resemble a pyoarthrosis, explaining high rates of misdiagnosis.
PATIENTS
Presented are the cases of a 45 and a 46 years old patient, who presented with acute onset of swelling, erythema, functional impairment and pain of the hand. Periarticular calcifications were identified radiologically.
RESULTS
The symptoms completely resolved in both patients within few days under conservative treatment.
CONCLUSION
The acute calcific periarthritis should be considered as a differential diagnosis of pyoarthrosis in the hand, especially if no suitable trauma preceeded. Usually conservative treatment with immobilization and antiphlogistic drugs rapidly leads to a complete remission.
背景
急性钙化性关节炎是由关节周围软组织中羟基磷灰石沉积引起的。其症状类似化脓性关节炎，这解释了误诊率较高的原因。
患者
介绍了一名45岁和一名46岁患者的病例，他们均表现为手部急性肿胀、红斑、功能障碍和疼痛。经放射学检查发现关节周围有钙化。
结果
两名患者在保守治疗下几天内症状完全缓解。
结论
急性钙化性关节炎应被视为手部化脓性关节炎的鉴别诊断，尤其是在没有合适的外伤史时。通常，采用固定和抗炎药物的保守治疗可迅速导致完全缓解。
Zotero 插件