老年慢性复发性多焦点骨髓炎 (CRMO) 模仿多焦点多发性骨髓瘤:这是一个八十多岁的第一次
Jonathan Sgaglione1, Andrew Muran1, Matthew Rhode1
1Donald and Barbara Zucker School of Medicine, Hofstra/Northwell 500 Hofstra Blvd, Hempstead, NY, 11549, USA.
Skeletal radiology
|March 19, 2024
概括
本报告详细介绍了第一个诊断的慢性复发多焦点骨髓炎 (CRMO) 在一个八十多岁,突出其潜在的陈述在老年患者. 该案强调了CRMO作为一种罕见的诊断,用于排除多焦点骨病变.
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
- 整形外科手术 整形外科手术
背景情况:
- 慢性复发性多焦点骨髓炎 (CRMO) 是一种通常影响儿童的自身炎症性骨疾病,其特征是复发性非细菌性骨髓炎.
- 虽然不常见,但CRMO在成年人中很少出现,并且在75岁以上的个人中以前没有被诊断出来.
研究的目的:
- 报告第一个在八十多岁的人身上诊断出的CRMO病例.
- 强调在多焦点骨病变的差异诊断中考虑CRMO的重要性,无论患者的年龄如何.
主要方法:
- 进行了全面的诊断工作,包括成像 (X射线,MRI),活检和培养.
- 分析了患者的临床表现,成像检测结果和病理组织学,以排除其他疾病.
主要成果:
- 一名83岁的妇女出现了模仿多发性骨髓瘤或转移性疾病的症状,包括骨折和伤病变.
- 广泛的检查显示非恶性,非传染性骨髓炎,导致CRMO的诊断.
- 患者经历了骨科干预后显著的恢复,骨折愈合和病变解决没有特定的医疗治疗.
结论:
- CRMO可能发生在老年人身上,呈现为罕见疾病的异常罕见表现.
- 仔细的诊断方法,包括活检和培养,对于诊断CRMO作为排除诊断至关重要.
- 这一案例扩大了CRMO诊断的年龄范围,并强调了评估多焦点骨病变时需要保持警.
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