成年开始的慢性复发性多焦点骨髓炎:一个病例报告
Ebru Yılmaz1, Mustafa Alper İncesoy2
1Department of Physical Medicine and Rehabilitation, Bezmialem Vakıf University, Adnan Menderes Avenue, Vatan Street, 34093, İstanbul, Turkey. dr.ozcanebru@gmail.com.
Skeletal radiology
|August 4, 2023
概括
成年开始的慢性复发性多焦点骨髓炎 (CRMO) 可能是具有挑战性的诊断. 有效的治疗包括甲状腺素和普雷尼索隆的组合,导致成年患者的临床康复令人满意.
科学领域:
- 类风湿病学 类风湿病学
- 儿科风湿病学 儿科风湿病学
- 整形外科 整形外科 整形外科
- 自燃性炎症疾病 自燃性炎症疾病
背景情况:
- 慢性复发性多焦点骨髓炎 (CRMO) 是一种主要影响儿童的自身炎症性骨疾病,其特征是骨复发性炎症.
- 虽然通常是儿科,但CRMO可以在成年人身上表现出来,可能会导致诊断延迟,因为它在这个年龄组很罕见.
研究的目的:
- 在女性患者中提交成人发病CRMO病例报告.
- 突出成人CRMO的诊断考虑和成功治疗策略.
主要方法:
- 一个成年女性的病例介绍,患有腿部疼痛和膝盖胀的症状.
- 首次用胆固醇治疗,随后因缺乏反应而转换为甲状腺和普雷尼索隆.
- 临床监测疾病进展和治疗疗效.
主要成果:
- 患者最初对素没有反应.
- 甲基和普雷迪尼索隆的联合治疗导致了令人满意的临床康复.
- 证明了成年CRMO中免疫抑制剂的潜在疗效.
结论:
- 成人发病的CRMO应考虑在患有骨疼痛和关节疾病的患者的差异诊断中.
- 密切的患者随访和适应性治疗策略,包括使用甲基和普雷尼索隆,对于管理CRMO至关重要.
- 这一案例强调了在成年人群中识别和有效治疗CRMO的重要性.
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