骨质炎凝结症 ilii伪装成神经炎:一个病例报告的诊断不足的条件
Rishi Ram Banjade1, Prabin Khatri1, Aabishkar Subedi1
1Department of Rheumatology and Clinical Immunology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
Annals of medicine and surgery (2012)
|December 11, 2025
概括
骨质炎凝结症 (Osteitis condensans ilii,简称OCI) 是一种良性疾病,会引起类似炎症疾病的腰部疼痛. 早期诊断和保守的管理是有利结果的关键.
科学领域:
- 类风湿病学 类风湿病学
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
背景情况:
- 骨质炎凝结骨 (Osteitis condensans ilii,简称OCI) 是一种良性病症,导致阴骨三角硬化.
- 由于类似的症状,它可能被误诊为炎症性关节障碍.
- 机械压力,特别是在怀孕期间,是一个可疑的原因,但病因是多因素的.
研究的目的:
- 为了突出骨质炎凝结症的诊断挑战 ilii.
- 强调成像在诊断OCI中的重要性.
- 讨论OCI的适当管理策略.
主要方法:
- 一个38岁的多发症妇女的病例介绍,她患有慢性腰部疼痛.
- 使用了临床检查,实验室测试 (炎症,自身免疫标记物),放射和MRI.
- 对OCI的诊断标准是基于成像发现的结果.
主要成果:
- 放射图显示了双边三角阴道硬化症,没有侵蚀.
- 核磁共振扫描 (MRI) 证实了硬化症与保存的骨关节空间,与OCI一致.
- 患者的症状最初暗示脊椎关节炎,但最终归因于OCI.
结论:
- 在患有慢性腰痛的患者中应考虑OCI,以避免误诊和不必要的治疗.
- 包括物理治疗和NSAID在内的保守管理对缓解症状是有效的.
- 早期识别和适当的管理导致OCI的良好预后.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
461
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
461
Chronic Bowel Disorders: Introduction
732
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
732
Appendicitis-I: Introduction
2.1K
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...
2.1K
Inflammatory Bowel Disease II: Crohn's Disease
915
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
915


