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《The Foot》2014,24(2):99-102
Idiopathic necrosis of the metatarsal head is unusual in adulthood. We report five cases of an atypical necrosis of the metatarsal head with a solid periosteal reaction in adults. Different imaging features are reported and diagnosis difficulties are highlighted.  相似文献   
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目的 提高对肥大性骨关节病(HOA)的认识、诊断和鉴别.方法 报告我院2例原发性HOA(PHOA)及3例继发性HOA(SHOA)确诊病例,并分析既往国内报道16例文献.结果 国内PHOA发病年龄多数在14~24岁,多为男性,最小者1岁起病,最大者为42岁.18例PHOA患者中2例有家族史,2例有近亲结婚史,所有患者均有杵状指(趾)、皮肤增厚粗糙、骨膜增生的临床表现,多汗14例,回状颅皮9例,关节痛和(或)关节积液10例,指(趾)端骨质溶解4例,类风湿因子阳性2例,1例弱阳性.我院报告3例SHOA均继发于肺部肿瘤,中年后起病,病程较短.以关节症状及杵状指(趾)为主要表现,面部及皮肤症状少,全身伴随症状多见.结论 PHOA青少年起病多见.男性多,主要表现为杵状指(趾)、皮肤增厚及骨膜反应.与SHOA需从起病年龄、病程及全身伴随症状等方面鉴别.  相似文献   
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Periostitis and osteomyelitis can occur in drug addicts not only by hematogenous dissemination of the infecting organisms, but as a result of introduction of bacteria by direct injection into periosteum or injection through infected skin and subcutaneous tissues. A spectrum of examples of osteomyelitis of the bones of the forearm in drug addicts is presented to illustrate this phenomenon. Neglect of these infections and the trauma of continued injections can lead to extensive tissue and bone loss.  相似文献   
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Summary Bone affectation in systemic lupus erythematosus (SLE) is caused both by the disease itself and by the treatment used. We report the case of a woman diagnosed of SLE, who, in the course of her illness, develops multiple aseptic osteonecrosis (AON) and laminar periostitis, radiologically compatible with the diagnosis of hypertrophic osteoarthropathy (HOA), with no evidence of acropaquia. In this case, the patient shows all the risk factors involved in the pathogenesis of the development of ischemia in bone microcirculation.  相似文献   
6.
We report on a case of Schnitzler’s syndrome, focussing on pattern of bone involvement and its differential diagnosis.  相似文献   
7.
The case of a 14-year-old girl with painful periostitis and ulcerative colitis is reported. The association of chronic inflammatory bowel disease with osteoarthropathy is rare and has previously been reported in eight patients. The periosteal reaction found in association with inflammatory bowel disease is apparently related to a chronic disease course and may cause extreme localized pain.  相似文献   
8.
Acroosteolysis     
Four cases of idiopathic acroosteolysis are reported. The first is a common phalangeal type, the second, the Hozay variety. The third case was diagnosed after a mumps infection, and marked regress of the changes was noted in the following years. The fourth case shows skin changes, periostitis, mild osteosclerosis, and skull changes as well as acroosteolysis.  相似文献   
9.
Skeletal metastatic lesions arising from gastric cancer are uncommon and usually of the osteolytic type. In order to gain a better understanding of its radiological spectrum, we report two atypical cases of skeletal metastases from gastric adenocarcinoma presenting with unusual radiographic, CT and scintigraphic features. In one patient multiple ossifying skeletal muscle metastases and bone metastases with spiculated periosteal reaction occurred as a presenting manifestation of the malignant disease. The other patient developed widespread osteosclerotic metastases with a superscan pattern on bone scintigraphy. Received 18 July 1997; Revision received 14 November 1997; Accepted 9 December 1997  相似文献   
10.
疲劳性骨膜炎对兔胫骨重建的影响   总被引:2,自引:0,他引:2  
目的 研究疲劳性骨膜炎对骨重建的影响。方法 通过大强度运动训练建立免胫骨疲劳性骨膜炎模型,采用组织学、放射学和胫骨横截面几何形态学方法测量骨的横截面积。结果 大强度运动训练引起胫骨疲劳性骨膜炎后胫骨的横截面积明显加大。结论 运动训练引起胫骨疲劳性骨膜炎可能是骨组织对大强度运动训练的一种适应性重建,横截面积加大增强骨的力学特性来达到功能适应的目的。  相似文献   
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