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颈椎植入物过敏伴慢性颈部疼痛:一例报告

Cervical Implant Allergy With Chronic Neck Pain: A Case Report.

作者信息

Aoyama Ryoma, Anazawa Ukei, Hotta Hiraku, Watanabe Itsuo, Takahashi Yuichiro, Matsumoto Shogo

机构信息

Orthopaedics, Tokyo Dental College Ichikawa General Hospital, Ichikawa, JPN.

出版信息

Cureus. 2022 Aug 23;14(8):e28293. doi: 10.7759/cureus.28293. eCollection 2022 Aug.

Abstract

A 57-year-old woman underwent cervical implant surgery for a dislocated cervical spine fracture, and she complained of continuous intractable neck pain after surgery. Eight years later, she developed a plantar skin rash, subsequently diagnosed as a metal allergy, and metal dentures were replaced with ceramic ones. The skin rash, however, persisted for four more years after that and was eventually treated with cervical implant removal. Subsequently, her skin rash and her neck pain improved simultaneously. This synchronous improvement strongly suggested that the neck pain could have been caused by a cervical implant allergy. We discuss a case of posterior cervical implant allergy that presented with neck pain and plantar skin rash years after surgery.

摘要

一名57岁女性因颈椎脱位骨折接受了颈椎植入手术,术后她抱怨颈部持续出现难以忍受的疼痛。八年后,她出现了足底皮疹,随后被诊断为金属过敏,金属假牙被换成了陶瓷假牙。然而,皮疹在那之后又持续了四年,最终通过移除颈椎植入物进行了治疗。随后,她的皮疹和颈部疼痛同时得到改善。这种同步改善强烈提示颈部疼痛可能是由颈椎植入物过敏引起的。我们讨论了一例颈椎后路植入物过敏的病例,该病例在手术后数年出现颈部疼痛和足底皮疹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fbe/9494577/1b511159ff6b/cureus-0014-00000028293-i01.jpg

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