L'Hirondel J L, Fournier L, Fretille A, Denizet D, Loyau G
Department of Rheumatology, Centre Hospitalier Universitaire Côte de Nacre, Caen, France.
Clin Exp Rheumatol. 1994 Mar-Apr;12(2):191-4.
Necrosis of fatty bone marrow is an unusual complication of several pancreatic disorders. We describe a patient with polyarthritis, sterile subcutaneous abscess and osteolysis arising during the course of alcoholic chronic pancreatitis. MR images of one knee showed multiple foci of abnormal signal intensity within the marrow of the distal femur and proximal tibia, consistent with intraosseous fat necrosis. CT scans showed significant changes in the cancellous bone in these areas compatible with metaphyseal osteonecrosis.
脂肪性骨髓坏死是几种胰腺疾病的罕见并发症。我们描述了一名在酒精性慢性胰腺炎病程中出现多关节炎、无菌性皮下脓肿和骨质溶解的患者。一侧膝关节的磁共振成像显示股骨远端和胫骨近端骨髓内有多个异常信号灶，符合骨内脂肪坏死。CT扫描显示这些区域的松质骨有明显变化，与干骺端骨坏死相符。
