儿童距骨 Rosai-Dorfman 病：病例报告。
Rosai-Dorfman Disease of the Talus in a Child: A Case Report.
出版信息
J Am Podiatr Med Assoc. 2021 Feb 1;111(1). doi: 10.7547/20-050.
BACKGROUND
Primary Rosai-Dorfman disease of bone is a rare disorder. Radiologic and clinical evaluation is insufficient in differentiating malignancy from these lesions.
METHODS
We present a talar lesion in a 17-month-old boy who presented with deterioration in gait pattern, limping, pain, and swelling of the left ankle of 4-months' duration. Curettage and demineralized bone matrix grafting were performed.
RESULTS
At 1 year after surgery, complete clinical and radiological healing was obtained.
CONCLUSIONS
Primary RDD of bone may present a diagnostic challenge. The condition must be included in the differential diagnosis of lytic or lucent lesions of the skeleton. Curettage and grafting provide satisfactory outcomes in talar RDD lesion in the pediatric age group.
背景
骨原发性 Rosai-Dorfman 病是一种罕见疾病。放射学和临床评估不足以将这些病变与恶性肿瘤区分开来。
方法
我们介绍了一个 17 个月大男孩的距骨病变，他出现了步态恶化、跛行、左踝关节疼痛和肿胀，持续了 4 个月。进行了刮除术和脱矿骨基质移植。
结果
手术后 1 年，获得了完全的临床和放射学愈合。
结论
骨原发性 Rosai-Dorfman 病可能具有诊断挑战性。在骨骼的溶骨性或透亮性病变的鉴别诊断中必须包括该疾病。刮除术和植骨术为儿童期距骨 Rosai-Dorfman 病病变提供了满意的结果。
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