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原发性甲状旁腺功能亢进症患儿的膝外翻:病例系列及文献综述

Genu valgum in children with primary hyperparathyroidism: A case series with a review of the literature.

作者信息

Sakale Harshal, Garg Ankit Kumar, Bhardwaj Shubham, Agrawal Alok Chandra

机构信息

Department of Orthopaedics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

出版信息

J Family Med Prim Care. 2024 Dec;13(12):5912-5916. doi: 10.4103/jfmpc.jfmpc_914_24. Epub 2024 Dec 9.

DOI:10.4103/jfmpc.jfmpc_914_24
PMID:39790807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11709036/
Abstract

Primary hyperparathyroidism (PHPT) is relatively uncommon in children, and skeletal deformities due to it are even rarer in this age group. Less than 20 such cases have been reported in the English literature. We describe a case series of three patients who presented with genu valgum deformity and were found to have primary hyperparathyroidism on further evaluation. The cases were primarily managed by removing the adenoma and later taken up for correction of the skeletal deformity. Genu valgum deformity in children can occur secondary to hyperparathyroidism due to a pubertal growth spurt.

摘要

原发性甲状旁腺功能亢进症(PHPT)在儿童中相对少见,由此导致的骨骼畸形在该年龄组中更为罕见。英文文献中报道的此类病例不到20例。我们描述了一组3例患者的病例系列,他们均表现为膝外翻畸形,进一步评估后发现患有原发性甲状旁腺功能亢进症。这些病例主要通过切除腺瘤进行治疗,随后进行骨骼畸形矫正。儿童膝外翻畸形可能继发于甲状旁腺功能亢进症,原因是青春期生长突增。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4824/11709036/67c168d98ef0/JFMPC-13-5912-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4824/11709036/051ccb17c082/JFMPC-13-5912-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4824/11709036/67c168d98ef0/JFMPC-13-5912-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4824/11709036/051ccb17c082/JFMPC-13-5912-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4824/11709036/67c168d98ef0/JFMPC-13-5912-g002.jpg

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本文引用的文献

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Case report: rare skeletal manifestations in a child with primary hyperparathyroidism.病例报告:原发性甲状旁腺功能亢进症患儿罕见的骨骼表现
BMC Endocr Disord. 2017 Jul 21;17(1):45. doi: 10.1186/s12902-017-0197-z.
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