扩散性异常性骨高静止症 (DISH):老年成人中偶然的放射性发现
Quintessence international (Berlin, Germany : 1985)
|February 5, 2025
概括
扩散性异常性骨高静止症 (DISH) 是一种脊椎骨化障碍. 牙医应该在老年患者中识别DISH的放射性迹象,并推进行医学评估.
科学领域:
- 医学科学 医学科学 医学科学
- 牙科科学 牙科科学
- 放射学 放射学是一门学科.
背景情况:
- 扩散性异常性骨架强症 (DISH) 是一种由脊椎骨化为特征的骨质病.
- 在牙科文献中,关于DISH的信息有限.
- DISH可能会出现系统性并发症.
研究的目的:
- 为一般牙医提供DISH的概述.
- 用一个无症状患者的病例报告来说明DISH.
- 突出在牙科实践中认可DISH的重要性.
主要方法:
- 一个87岁的男性患者的病例报告,正在接受前假牙评估.
- 形束计算断层扫描 (CBCT) 扫描进行评估.
- 临床随访以确定患者的症状.
主要成果:
- 偶然的CBCT发现显示了前C3-C4脊椎的桥梁骨化.
- 相关发现包括轻微的气道位移和体积减少,化动脉动脉瘤和内动脉化.
- 在5个月的随访中,患者仍然无症状,没有报告呼吸不全,消化不良,喉疼痛或窒息.
结论:
- 牙科保健医生必须对DISH的放射性证据保持警,特别是在老年人中.
- 放射性发现暗示DISH,需要立即转诊进行全面的医疗评估.
- 通过牙科查的早期检测可以促进及时的医疗干预.
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