肺外化颗粒瘤:是一种罕见的病例,具有关节内和紧关节内涉
Mohanad Alhumayed1, Ryan P Austin2, Eric Y Chang3,4
1Department of Radiology, University of California San Diego, San Diego, CA, 92103, USA. malhumayed@gmail.com.
Skeletal radiology
|July 24, 2024
概括
肺外化颗粒瘤 (EPHG) 是一种罕见的免疫反应. 本病例报告详细介绍了手腕内关节内和关节内EPHG,由成像和活检证实,成功用葡萄糖皮质激素治疗.
科学领域:
- 类风湿病学 类风湿病学
- 病理学 病理学 病理学
- 放射学 放射学是一门学科.
背景情况:
- 肺外化颗粒瘤 (EPHG) 是一种不常见的疾病,其特征是过度的慢性免疫反应.
- 它通常呈现为局部化的质量,通常在中体或后体中.
研究的目的:
- 报告第一个记录下来的关节内和肌内EPHG病例.
- 描述这种罕见呈现的放射学和病理学发现.
- 为了突出治疗结果.
主要方法:
- 一个60岁的男性患有手腕疼痛和胀的案例介绍.
- 放射性评估包括超声波 (US) 和磁共振成像 (MRI).
- 活检样本的组织病理学检查.
主要成果:
- 图像检测显示,对称的关节膨胀,质量,突炎和骨质侵蚀在远距离的放射性突关节和延伸肌罩.
- 美国显示异质,低声到异声,低血管质量.
- 核磁共振扫描显示了同位密集的T1,同位密集到轻度超强的T2脂肪抑制信号,以及最小的后对比增强.
- 活检证实了EPHG.
结论:
- 关节内和紧突EPHG是这种情况的一个罕见表现.
- 典型的成像发现可以表明诊断.
- 葡萄糖皮质激素治疗在治疗这种疾病方面被证明是有效的.
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