Lee J C, Salonen D C, Inman R D
Department of Medicine, The Toronto Hospital, University of Toronto, ON, Canada.
J Rheumatol. 1997 Dec;24(12):2476-8.
We describe a 42-year-old man with right hemiplegia from cerebral palsy who presented with chronic left arm pain. Examination revealed 12 active joints, predominantly in the left hand. Radiographs showed characteristic changes of an advanced secondary osteoarthritic process in the left hand and only minimal changes on the right. Bone scan confirmed unilateral activity. Subsequent investigations diagnosed hemochromatosis. Unilateral arthropathy of hemochromatosis on a neurogenic basis has not been previously reported.
我们描述了一名42岁患有脑瘫导致右半身瘫痪的男性,他出现了慢性左臂疼痛。检查发现有12个活动关节,主要集中在左手。X光片显示左手有晚期继发性骨关节炎进程的特征性变化,而右手只有轻微变化。骨扫描证实为单侧活动。后续检查诊断为血色素沉着症。基于神经源性的血色素沉着症单侧关节病此前尚未见报道。