[儿童骨髓炎、化脓性关节炎、非细菌性骨髓炎、SAPHO综合征：临床医生想从放射科医生那里了解什么？]
[Osteomyelitis, septic arthritis, nonbacterial osteomyelitis, SAPHO syndrome in children : What clinicians want to know from the radiologist?].
作者信息
Haas Johannes-Peter
机构信息
Deutsches Zentrum für Kinder- und Jugendrheumatologie, Kinderklinik Garmisch-Partenkirchen gGmbH, Gehfeldstr. 24, 82467, Garmisch-Partenkirchen, Deutschland.
出版信息
Radiologie (Heidelb). 2025 Jul 3. doi: 10.1007/s00117-025-01470-w.
CLINICAL ISSUE
Monofocal and multifocal bone lesions in children and adolescents may result from various diseases. Apart from inflammatory entities malignancy is the most important issue to be ruled out.
STANDARD TREATMENT
Various diseases. Apart from inflammatory origin malignancy is the most important issue to be ruled out. Imaging in particular magnetic resonance imaging (MRI) has an important role for the diagnostic process.
DIAGNOSTIC WORK-UP: Osteomyelitis and septic arthritis on the one hand and nonbacterial osteomyelitis and synovitis, acne, pustulosis, hyperostosis, and osteitis syndrome (SAPHO) syndrome on the other may present with unspecific clinical symptoms and overlapping disease courses.
ACHIEVEMENTS
Radiology is important not only for diagnostics but for treatment planning.
PRACTICAL RECOMMENDATIONS
This review focusses on questions to the radiologist from the clinician's view.
临床问题
儿童和青少年的单灶性和多灶性骨病变可能由多种疾病引起。除炎症性疾病外，恶性肿瘤是需要排除的最重要问题。
标准治疗
多种疾病。除炎症性起源外，恶性肿瘤是需要排除的最重要问题。影像学检查，尤其是磁共振成像（MRI）在诊断过程中具有重要作用。
诊断检查
一方面，骨髓炎和化脓性关节炎，另一方面，非细菌性骨髓炎和滑膜炎、痤疮、脓疱病、骨肥厚和骨炎综合征（SAPHO）综合征可能表现出非特异性临床症状和重叠的病程。
成果
放射学不仅对诊断很重要，对治疗规划也很重要。
实用建议
本综述从临床医生的角度关注向放射科医生提出的问题。
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