Kandoi M, Himmatramka R
Department of Orthopaedics, K.E.M. Hospital, Bombay.
Indian J Med Sci. 1998 Jan;52(1):22-4.
17 yrs. old boy presented with low back pain and progressive deformity with no history of trauma or tuberculosis. Clinically there was tender knuckle formation at L2 level. X-rays showed vertebra plana (concentric collapse) at L2 level along with skull involvement. While being investigated patient developed partial collapse at L3 level and pelvis involvement within a week. On biopsy from L3 vertebra the lesion was found to be eosinophilic granuloma. This is a case report of a rare instance in which acute progression of eosinophilic granuloma occurred involving multiple skeletal sites in an adult.
一名17岁男孩出现下背部疼痛和进行性畸形，无外伤或结核病史。临床上在L2水平有压痛性指节形成。X线显示L2水平椎体扁平（同心性塌陷）并伴有颅骨受累。在检查过程中，患者在一周内L3水平出现部分塌陷并累及骨盆。对L3椎体进行活检，发现病变为嗜酸性肉芽肿。这是一例罕见的病例报告，即嗜酸性肉芽肿在成人中急性进展并累及多个骨骼部位。
