Diankov L, Andreeva M A
Vutr Boles. 1982;21(6):81-5.
X-ray alterations of the type ischemic osseous necrosis were established in three patients (two females and one male) with Icenko-Cushing disease. In the first case--the haed of femur was unilaterally affected: in the second--bilateral lesions with the same localization; and in the third--a combination of changes in the head of femur and the heads of some metatarsal bones. In all patients, secondary ostheoarthrosis alterations were also observed. The tomographic study enabled the visualization of details, characterizing the stage of the progress of the process. The similarity in the roentgenological images, with a substrate of ischemic osseous necrosis in case of exogenous and endogenous hypercortisolism, provide grounds to admit a similarity in the pathogenesis of those states.
在3例Icenko-Cushing病患者（2例女性，1例男性）中发现了缺血性骨坏死类型的X线改变。第一例中，单侧股骨头受累；第二例中，双侧病变位于相同部位；第三例中，股骨头和一些跖骨头均有改变。在所有患者中，还观察到继发性骨关节炎改变。断层扫描研究能够清晰显示特征性细节，以明确病变进展阶段。外源性和内源性皮质醇增多症患者出现的伴有缺血性骨坏死的X线影像相似，这为两种状态发病机制相似提供了依据。
