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[与赖特综合征相关的腘窝囊肿扩张所致假性血栓性静脉炎]

[Pseudothrombophlebitis due to an expansive popliteal cyst associated with Reiter's syndrome].

作者信息

Mangiafico R A, Santonocito M, Mandalà M L, Spada R S, Benedetto F A, Malatino L S

机构信息

Istituto di Clinica Medica L. Condorelli e Scuola di Specializzazione in Angiologia Medica, Università degli Studi, Catania.

出版信息

Minerva Med. 1995 Sep;86(9):391-4.

PMID:7501230
Abstract

Popliteal cysts presenting as thrombophlebitis are unusual diseases of the popliteal fossa and are commonly associated with rheumatoid arthritis or meniscal tears. The authors report the case of a 38-year-old man with Reiter's syndrome in which a synovial cyst of the popliteal space, mimicking symptoms suggestive of deep venous thrombosis, complicated the course of the arthritis. Clinical and diagnostic features of this rare popliteal pathology are discussed and the usefulness of noninvasive diagnostic methods for detecting this disease, in particular that of echotomography, is emphasized. The authors stress the importance of a correct diagnosis in order to avoid the risks of an erroneous anticoagulant treatment.

摘要

表现为血栓性静脉炎的腘窝囊肿是腘窝的罕见疾病,通常与类风湿性关节炎或半月板撕裂有关。作者报告了一例38岁患有赖特综合征的男性病例,其腘窝滑膜囊肿模拟了提示深静脉血栓形成的症状,使关节炎病程复杂化。本文讨论了这种罕见的腘窝病变的临床和诊断特征,并强调了无创诊断方法尤其是超声断层扫描在检测这种疾病中的作用。作者强调正确诊断的重要性,以避免错误抗凝治疗的风险。

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