Xie Si-Qin, Ding Xiao-Fang, Zhang Bing, Shi Feng-Xia, Zhong Li-Li, Huang Han
Department of Pediatrics, Hunan Normal University First Affiliated Hospital/Hunan Provincial People's Hospital, Changsha 410005, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2024;26(9):961-966. doi: 10.7499/j.issn.1008-8830.2401060.
A 2-year-and-10-month-old boy presented with multiple masses in the neck and chest for over 3 months. The child had a history of unstable walking, with hard lumps visible at the injury sites after falls, which would resolve on their own. Following a recent injury, a mass was discovered in the posterior neck, protruding above the skin surface and accompanied by limited joint movement. Gradually, new masses were found on the left side of the neck, back near the scapular lower angle, in the scapular fossa, and along the left axillary midline. Magnetic resonance imaging examination showed diffuse low signal on T1-weighted images and high signal on T2-weighted images in the bilateral posterior neck and back muscles two months ago. A CT scan revealed muscle swelling, with areas of patchy low density and multiple nodular high-density ossifications within some muscles. Genetic testing results indicated a mutation in the gene, leading to the final diagnosis of progressive ossifying myositis in this patient. This article summarizes the etiology, diagnosis, and treatment of one case of progressive ossifying myositis, providing a reference for clinicians.
一名2岁10个月大的男孩出现颈部和胸部多处肿块3个多月。该患儿有行走不稳病史,跌倒后受伤部位可见硬块,硬块可自行消退。近期一次受伤后,在后颈部发现一个肿块,突出于皮肤表面,伴有关节活动受限。逐渐地,在颈部左侧、肩胛下角附近的背部、肩胛窝以及左腋中线沿线发现了新的肿块。两个月前的磁共振成像检查显示双侧后颈部和背部肌肉在T1加权图像上呈弥漫性低信号,在T2加权图像上呈高信号。CT扫描显示肌肉肿胀,部分肌肉内有斑片状低密度区和多个结节状高密度骨化灶。基因检测结果表明该基因发生突变,最终诊断该患者为进行性骨化性肌炎。本文总结了1例进行性骨化性肌炎的病因、诊断和治疗,为临床医生提供参考。