Lauwerys B R, Dufour J P, Noël H, Vande Berg B, Devogelaer J P
Rheumatology Unit, St.-Luc University Hospital, Louvain University, Brussels, Belgium.
Osteoporos Int. 1997;7(4):359-62. doi: 10.1007/BF01623778.
A 68-year-old man is presented with a reflex sympathetic dystrophy syndrome (RSDS) of the right ankle diagnosed by radiography, magnetic resonance imaging and bone scintiscan. Investigations, including blood tests and bone biopsy, revealed a diagnosis of metabolic acidosis and osteomalacia. These appeared to result from a ureterosigmoidostomy performed 9 years previously for a transitional carcinoma of the bladder. Correction of the metabolic acidosis coincided with improvement in ankle pain. RSDS may be the initial presentation of osteomalacia, which in turn may be caused by the metabolic acidosis resulting from a ureterosigmoidostomy.
一名68岁男性因右踝反射性交感神经营养不良综合征（RSDS）就诊，该综合征经X线摄影、磁共振成像和骨闪烁扫描确诊。包括血液检查和骨活检在内的各项检查显示诊断为代谢性酸中毒和骨软化症。这些情况似乎是9年前因膀胱移行癌行输尿管乙状结肠吻合术所致。代谢性酸中毒的纠正与踝部疼痛的改善同时出现。RSDS可能是骨软化症的首发表现，而骨软化症又可能由输尿管乙状结肠吻合术导致的代谢性酸中毒引起。
