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大剂量依替膦酸二钠治疗进行性骨化性纤维发育不良的应用及并发症

Use and complications of high-dose disodium etidronate therapy in fibrodysplasia ossificans progressiva.

作者信息

Rogers J G, Dorst J P, Geho W B

出版信息

J Pediatr. 1977 Dec;91(6):1011-4. doi: 10.1016/s0022-3476(77)80918-9.

Abstract

A boy with fibrodysplasia ossificans progressiva received nearly twice the usual therapeutic dose of disodium etidronate for 13 months in an attempt to prevent reossification following a second operation to correct severe torticollis. The operation was successful, but during therapy he developed weakness and distinctive bone lesions characterized by general osteopenia, widened physes, and unique radiolucent bands in the metaphyses. The osseous abnormalities were distinct from those of rickets and healed after withdrawal of the drug.

摘要

一名进行性骨化性纤维发育不良男孩为预防因严重斜颈进行二次手术后的再骨化,接受了近两倍于常规治疗剂量的依替膦酸二钠治疗,为期13个月。手术很成功,但在治疗期间,他出现了虚弱症状以及独特的骨病变,其特征为全身性骨质减少、骨骺增宽以及干骺端独特的透射性带。这些骨骼异常不同于佝偻病,停药后痊愈。

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