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一例强直性脊柱炎与厚皮性骨膜病极为罕见关联的病例报告。

A case report of an extremely rare association of ankylosing spondylitis with pachydermoperiostosis.

作者信息

Gorial Faiq I, Awadh Nabaa Ihsan, Hamzah Maryam A

机构信息

Rheumatology Unit, Department of Internal Medicine, College of Medicine University of Baghdad Baghdad Iraq.

Rheumatology Unit, Department of Internal Medicine Baghdad Teaching Hospital Baghdad Iraq.

出版信息

Clin Case Rep. 2023 May 20;11(5):e7375. doi: 10.1002/ccr3.7375. eCollection 2023 May.

DOI:10.1002/ccr3.7375
PMID:37220512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10199809/
Abstract

KEY CLINICAL MESSAGE

We describe a case of a young man with features of pachydermoperiostosis and spondyloarthropathy. By describing this rarity, we aim to help build a database for future studies and construct a management plan that rheumatologists and clinicians can use.

ABSTRACT

This is the first case report in Iraq describing the combination of pachydermoperiostosis and ankylosing spondylitis. We report this interesting association in a 23-year-old male who presented with inflammatory back pain, coarse facial features, clubbing, signs of enthesitis, limitation of spine movement, and clinical and radiographic signs of sacroiliitis.

摘要

关键临床信息

我们描述了一例具有厚皮性骨膜病和脊柱关节病特征的年轻男性病例。通过描述这一罕见病例，我们旨在为未来的研究建立一个数据库，并构建一个风湿科医生和临床医生可以使用的管理方案。

摘要

这是伊拉克首例描述厚皮性骨膜病和强直性脊柱炎合并症的病例报告。我们报告了一名23岁男性的这一有趣关联，该患者表现为炎性背痛、面部特征粗糙、杵状指、附着点炎体征、脊柱活动受限以及骶髂关节炎的临床和影像学表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726b/10199809/bfec585204bc/CCR3-11-e7375-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726b/10199809/bd1201504cd4/CCR3-11-e7375-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726b/10199809/4c6b8de7acfc/CCR3-11-e7375-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726b/10199809/bfec585204bc/CCR3-11-e7375-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726b/10199809/bd1201504cd4/CCR3-11-e7375-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726b/10199809/4c6b8de7acfc/CCR3-11-e7375-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/726b/10199809/bfec585204bc/CCR3-11-e7375-g003.jpg

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本文引用的文献

1
A complicated case of pachydermoperiostosis with spondyloarthritides: a case report.厚皮性骨膜病合并脊柱关节炎的复杂病例：一例报告
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Digital clubbing.杵状指
Lung India. 2012 Oct;29(4):354-62. doi: 10.4103/0970-2113.102824.
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[Primary hypertrophic osteoarthropathy (pachydermoperiostosis). Report of two familial cases and literature review].[原发性肥厚性骨关节病（厚皮性骨膜病）。两例家族性病例报告及文献综述]
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Treatment of hypertrophic osteoarthropathy with zoledronic acid: case report and review of the literature.唑来膦酸治疗肥大性骨关节病 1 例报告并文献复习
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Hypertrophic osteoarthropathy masquerading as lower extremity cellulitis and response to bisphosphonates.伪装为下肢蜂窝织炎的肥大性骨关节病及对双膦酸盐的反应
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A case of pachydermoperiostosis treated by oral administration of a bisphosphonate and arthroscopic synovectomy.1例厚皮性骨膜病经口服双膦酸盐及关节镜下滑膜切除术治疗。
Mod Rheumatol. 2007;17(4):330-2. doi: 10.1007/s10165-007-0585-8. Epub 2007 Aug 20.
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Ankylosing spondylitis in a patient with primary hypertrophic osteoarthropathy.一名原发性肥厚性骨关节病患者合并强直性脊柱炎。
J Clin Rheumatol. 2007 Jun;13(3):175. doi: 10.1097/RHU.0b013e3180690b97.
8
Bisphosphonates: new indications and methods of administration.双膦酸盐类药物：新适应症及给药方法
Curr Opin Rheumatol. 2003 Jul;15(4):458-63. doi: 10.1097/00002281-200307000-00014.
9
Primary hypertrophic osteoarthropathy: clinical, radiologic, and scintigraphic characteristics.原发性肥大性骨关节病：临床、放射学及闪烁扫描特征
Arch Med Res. 2001 Mar-Apr;32(2):136-42. doi: 10.1016/s0188-4409(01)00251-x.
10
Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria.强直性脊柱炎诊断标准的评估。对纽约标准进行修订的提议。
Arthritis Rheum. 1984 Apr;27(4):361-8. doi: 10.1002/art.1780270401.