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一名青少年男性手指关节周围软组织肿胀的罕见病例:厚皮性多指(趾)症还是厚皮性骨膜病?

An unusual case of peri-articular soft tissue finger swelling in an adolescent male: pachydermodactyly or pachydermoperiostosis?

作者信息

Rai A, Zaphiropoulos G C

机构信息

Department of Rheumatology, Coventry and Warwickshire Hospital, Coventry.

出版信息

Br J Rheumatol. 1994 Jul;33(7):677-9. doi: 10.1093/rheumatology/33.7.677.

DOI:10.1093/rheumatology/33.7.677
PMID:8019799
Abstract

Benign soft tissue swelling affecting the interphalangeal joints can sometimes be misdiagnosed as an arthropathy. Garrods fatty pads (knuckle pad syndrome) is a relatively common and harmless condition characterized by discrete fibromatous skin pads over the dorsum of the interphalangeal joints. We describe a case which clinically resembles the rare but benign condition of pachydermodactyly with some pathological features of the distinct syndrome of pachydermoperiostosis. The possibility of an overlap syndrome is discussed.

摘要

影响指间关节的良性软组织肿胀有时可能被误诊为关节病。加罗德脂肪垫(指节垫综合征)是一种相对常见且无害的病症,其特征是指间关节背侧出现离散的纤维瘤性皮肤垫。我们描述了一例临床症状类似于罕见但良性的厚皮性厚甲症,同时具有厚皮性骨膜病独特综合征的一些病理特征的病例。文中讨论了重叠综合征的可能性。

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Pachydermodactyly: A Case Report of a Little-Known and Benign Form of Digital Fibromatosis.厚皮性骨膜病:一种鲜为人知的良性手指纤维瘤病。
Am J Case Rep. 2020 May 19;21:e923344. doi: 10.12659/AJCR.923344.
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Pachydermodactyly: a review.厚皮性指节垫:综述
Curr Rheumatol Rep. 2014;16(9):442. doi: 10.1007/s11926-014-0442-7.
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Pachydermodactyly: four additional cases.厚皮指:另外4例病例
Clin Rheumatol. 2007 Jun;26(6):962-4. doi: 10.1007/s10067-006-0210-9. Epub 2006 Mar 22.