Greene W B, McMillan C W
Department of Surgery, University of North Carolina School of Medicine, Chapel Hill 27514.
J Pediatr Orthop. 1987 Nov-Dec;7(6):716-8.
Hand-foot syndrome and Salmonella osteomyelitis are characteristic problems in children with sickle cell anemia. Salmonella osteomyelitis presenting as hand-foot syndrome is unusual and causes diagnostic difficulties. A recent case illustrates the diagnostic dilemmas and suggests appropriate screening studies for the child with sickle cell anemia and atypical hand-foot syndrome.
手足综合征和沙门氏菌骨髓炎是镰状细胞贫血患儿的典型问题。沙门氏菌骨髓炎表现为手足综合征较为罕见,会造成诊断困难。近期的一个病例说明了诊断上的困境,并为患有镰状细胞贫血和非典型手足综合征的患儿提出了适当的筛查研究建议。