伪装成急性骨髓炎的急性淋巴细胞白血病。两例报告。
Acute lymphocytic leukemia masquerading as acute osteomyelitis. A report of two cases.
作者信息
Sitarz A L, Berdon W E, Wolff J A, Baker D H
出版信息
Pediatr Radiol. 1980;9(1):33-5. doi: 10.1007/BF00973967.
PMID:6928066
Abstract
Two children each developed a focal destructive bone lesion accompanied by intermittent fever, swelling, tenderness and elevated ESR. Blood counts were normal; bone marrow aspiration showed acute leukemia. The bone lesions healed in both patients after anti-leukemic therapy. We suggest that the similar roentgenographic appearance of osteomyelitis, bone infarction and focal destructive lesions in leukemia probably reflects a common, basically ischemic process of bone.
摘要
两名儿童均出现局限性骨破坏病变，并伴有间歇性发热、肿胀、压痛和血沉升高。血常规正常；骨髓穿刺显示为急性白血病。两名患者在接受抗白血病治疗后骨病变均愈合。我们认为，白血病中骨髓炎、骨梗死和局限性骨破坏病变相似的X线表现可能反映了一种常见的、基本为缺血性的骨病变过程。
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