对侧佩特兹病中的破坏性滑膜炎。2例报告。

Destructive synovitis in contralateral Perthes' disease. A report of 2 cases.

作者信息

Vanpaemel L, Helders P J, Kuis W, Pruijs H, Huber J, Keessen W

机构信息

Department of Pediatric Orthopedics, University Hospital for Children and Youth, Het Wilhelmina Kinderziekenhuis, Utrecht, The Netherlands.

出版信息

Acta Orthop Scand. 1994 Dec;65(6):585-8. doi: 10.3109/17453679408994609.

DOI:10.3109/17453679408994609

PMID:7839840

Abstract

2 boys had unilateral Perthes' disease at the age of 5 years. After 6 and 7 years, respectively, both patients developed contralateral femoral head necrosis with rapid destruction leading to ankylosis of the hip. Histology of the synovium showed nonspecific synovitis. Both patients fulfilled criteria for oligo-articular juvenile chronic arthritis (JCA). The association with Perthes' disease suggests a common etiology.

摘要

2名男孩在5岁时患单侧佩特兹病。分别在6年和7年后，两名患者均出现对侧股骨头坏死，且迅速破坏，导致髋关节强直。滑膜组织学检查显示为非特异性滑膜炎。两名患者均符合少关节型幼年慢性关节炎（JCA）的标准。与佩特兹病的关联提示存在共同病因。