在埃尔德海姆-切斯特病中对四肢骨干参与的放射性评估:对病例报告的系统审查
Arash Azhideh1, Alireza Pouramini1, Sara Haseli1,2
1Department of Radiology, Division of Musculoskeletal Imaging and Intervention, University of Washington, Seattle, WA, USA.
埃尔德海姆-切斯特病 (ECD) 通常影响四肢,长骨中呈现双边对称的骨质硬化. 射线图显示了硬化和皮质厚,疼痛和胀是常见的症状.
科学领域:
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
- 整形外科 整形外科 整形外科
背景情况:
- 埃尔德海姆 - 切斯特病 (ECD) 是一种罕见的非朗格汉斯细胞囊炎.
- 在EDD中,极端的参与往往被忽视.
- 射线图通常是怀疑骨异常的最初成像方法.
研究的目的:
- 划出了埃尔德海姆-切斯特病在四肢的临床和放射学特征.
- 强调放射学发现的特点,有助于早期诊断.
- 为了将成像发现与病理确认相关联.
主要方法:
- 按照PRISMA指南进行系统的文献审查.
- 在Scopus,PubMed,Web of Science和Embase数据库中搜索到2024年8月.
- 包括病理确认的ECD病例与详细的放射学描述.
主要成果:
- 鉴定出了20例肢体内心脏病的病例.
- 常见的放射性发现包括纯硬化症 (53.3%) 和皮质加厚 (42.8%).
- 长骨的对称的半身/半身形骨质硬化是特征性的,在一半以上的患者中,半身形骨节省.
结论:
- 下肢长管状骨中的双边对称骨质硬化是ECD的标志.
- 硬化和皮质厚化的放射性发现对于诊断四肢ECD至关重要.
- 早期识别这些放射性模式可以促进及时诊断和管理.
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