不对称的肩膀:在儿童中可能是超关节性淋巴结炎的迹象
Megumi Akutsu1,2, Daisuke Matsubara3,2,1, Tadahiro Mitani2,1
1Department of Pediatrics, International University of Health and Welfare, Nasushiobara, JPN.
Cureus
|September 12, 2025
概括
一个罕见的儿科病例显示,关节上 pyogenic 淋巴腺炎呈现为一个不对称的肩膀. 这种情况可以在细胞质炎消失后远程发生,强调需要仔细诊断.
科学领域:
- 儿童传染病 儿童传染病
- 医学成像在儿科中的医学成像.
- 淋巴系统疾病 淋巴系统疾病
背景情况:
- 发烧性淋巴腺炎是一种淋巴结的感染.
- 脑关节上淋巴腺炎在儿童中很少见,并且可能与恶性瘤有关.
- 远端细胞炎有时会在意想不到的地方导致淋巴腺炎.
研究的目的:
- 报告一例罕见的儿科上关节炎 pyogenic 淋巴腺炎.
- 突出"不对称的肩膀"作为潜在的临床征兆.
- 讨论超关节性淋巴腺炎的诊断和管理方面的考虑.
主要方法:
- 一个五岁男孩的病例报告,他的部和肩膀疼痛.
- 短时间的逆恢复磁共振成像 (STIR-MRI) 以可视化淋巴结.
- 静脉注射抗生素治疗.
主要成果:
- 通过STIR-MRI识别出一个扩大的右关节上关节淋巴结与周围的胀.
- 患者呈现出"不对称的肩膀"外观.
- 患者在接受抗生素治疗后完全康复.
结论:
- 即使在远端细胞质炎消失后,儿童也可能发生关节上淋巴炎.
- "不对称的肩膀"可能表明潜在的淋巴腺炎.
- 考虑到恶性瘤的可能性,及时诊断和治疗至关重要.
更多相关视频
07:25Author Spotlight: A Focus on Standardized Salivary Gland Ultrasound Protocol in Connective Tissue Disease Research
Published on: October 13, 2023
5.1K
07:47The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
20.0K
相关概念视频
Pericarditis II: Clinical Features and Diagnostic Tests
291
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
291
Muscles of the Shoulder
8.9K
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
8.9K
Tonsillitis I: Introduction
1.8K
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
1.8K
Assessing Body Temperature - Axilla
1.2K
Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
1.2K
Secondary Lymphoid Organs
8.9K
Secondary organs, including lymph nodes, the spleen, and mucosa-associated lymphoid tissue (MALT), work harmoniously to protect us from disease and infection.
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
The spleen is a vital organ in the lymphatic system, nestled in the upper left side of the abdomen. It is composed of two primary regions: the red pulp and the white pulp, each having distinct functions. The red pulp performs a significant role in blood filtration. It efficiently purges the blood of old or damaged red blood cells and...
8.9K
Appendicitis-I: Introduction
2.2K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.2K
