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麻风继发的小指近端指间关节慢性关节炎:一例报告

Small Finger Proximal Interphalangeal Joint Chronic Arthritis Secondary to Leprosy: A Case Report.

作者信息

Elbayer Ahmed M, Ibrahim Mohamed M, Alharami Sara, Wani Iqbal, Elhessy Ahmed H

机构信息

Plastic and Reconstructive Surgery, University of Tennessee, Memphis, USA.

Department of Medicine, University of Maryland School of Medicine, Baltimore, USA.

出版信息

Cureus. 2023 Mar 30;15(3):e36915. doi: 10.7759/cureus.36915. eCollection 2023 Mar.

Abstract

Leprosy (Hansen's disease) is a multisystem, chronic infectious disease that still exists. It is caused by . Musculoskeletal features are non-consistent and can lead to misdiagnosis and mistreatment. We report the case of a 23-year-old male with the right small finger (RSF) proximal interphalangeal (PIP) joint arthropathy related to leprosy. This was his first encounter with seeking medical advice regarding his condition. The patient was diagnosed and treated with surgical debridement, volar plate arthroplasty for the affected proximal interphalangeal joint, and the recommended multi-drug therapy regimen. The pathological effects of leprosy on the bones and joints have been attributed to several theories, with peripheral nerve neuropathy being the primary cause. Early detection of leprosy is crucial for effective management, preventing further disease transmission, and minimizing the risk of developing complications.

摘要

麻风病(汉森氏病)是一种仍然存在的多系统慢性传染病。它由……引起。肌肉骨骼特征不一致,可能导致误诊和误治。我们报告一例23岁男性因麻风病导致右手小指近端指间关节病的病例。这是他首次就自身病情寻求医疗建议。该患者经诊断后接受了手术清创、对受累近端指间关节进行掌板成形术以及推荐的多药联合治疗方案。麻风病对骨骼和关节的病理影响归因于多种理论,其中周围神经病变是主要原因。早期发现麻风病对于有效管理、预防疾病进一步传播以及将发生并发症的风险降至最低至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1842/10063427/ebb0e47ffa6e/cureus-0015-00000036915-i01.jpg

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