骨斑点症1例

患者男,28岁。因双侧腰腿痛3月余来院检查。查体及实验室检查均无异常。X线平片:双侧髂骨近髋臼处,双侧坐骨、耻骨及骶骨,双侧股骨颈、股骨下端、胫、腓骨上、下端,双侧足跗骨、跖、趾骨的骨松质内可见散在分布大小不等的斑点状致密影,呈圆形、椭圆形、梭形、长条状硬化灶,边界     

骨斑点症1例

患者　男 ,2 8岁 ,未婚。近日劳累后再出现脐部疼痛来我院就诊。 10个月前无明显诱因出现脐部疼痛 ,呈持续性绞痛 ,恶心、呕吐 ,无畏寒、发热 ,无大便形状改变 ,经对症治疗症状缓解。体检 :一般情况尚可 ,上腹部轻压痛 ,无巩膜黄染 ,肝、脾肋下未及。实验室检查 :血常规、尿常规、大便常规及隐血、血钙、血磷均正常。临床以腹痛原因待查 ,慢性阑尾炎收住院。Ｘ线片 :双侧股骨上、下端 ,双侧坐骨、耻骨、髂骨及骶骨 ,双侧胫、腓骨上、下端 ,双侧肱骨上、下端 ,双侧桡、尺骨上、下端 ,双侧腕骨及掌、指骨 ,双侧足跗、跖、趾骨 ,双侧肩甲骨、锁…     

骨斑点症1例报告

患者男20岁。车祸致腰骶部，颈部疼痛，活动受限2小时。查体：智力、身材发育正常，皮肤未见豆疹，瘢痕疙瘩等改变，关节未有酸痛史，血常规正常。     

骨斑点症1例

患者男,24岁.因左踝外伤摄片检查.X线示:除腰椎骨外诸骨均见多发弥漫性对称性斑点状圆形、椭圆形骨质硬化影,大小不甚一致,分布不均,边缘光滑或不规则但清晰,跟骨及长骨内部分高密度影部分呈条片状,部分有融合趋势;无骨膜反应,骨皮质、关节面及周围软组织正常(图1～4).诊断:骨斑点症.     

骨斑点症

骨斑点症又称波一欧综合征（Buschke Ollenclorff Syndrome) ，以多发性斑点骨（Spotted Bone)和皮肤纤维瘤为特征，国内不到20例，本文综合11个单位共21例，为国内最多的一组病例。     

骨斑点症1例

患者男,33岁,因右膝关节外伤就诊.查体发育良好,实验室检查正常. 右膝关节X线片示:右股骨远端及胫腓骨近端可见多个大小不等、分布不均、边缘清晰的斑点状及条索状致密影,无骨膜反应及骨质增厚.     

遗传性骨斑点症1例

患者女性,18岁.父母非近亲结婚.因"体检"来院.胸部X线正位片显示肩关节多发斑点状、大小不等、分布不均匀致密影,骨盆、两侧膝关节、两侧踝关节诸组成骨见多发类圆形、椭圆形高密度影,边界清,分布不均,近关节处分布密集,长径约2～14 mm,所见各关节在位,关节间隙正常,周围软组织未出现明显异常密度影(图1～7).     

骨斑点症2例

病例资料MATERIALS例1男,29岁。因双髋关节酸痛不适3月余前来就诊。查体无明显阳性体征,实验室检查血、尿常规、血沉、钙磷等生化指标无异常。X线平片表现为双髋关节组成骨散在多个大小不一的斑点样高密度影,边界清楚,密度均匀,直径0.5-1.0cm,部分有融合。双髋及双侧骶髂关节面光整,组成骨无破坏,无骨膜反应及软组织肿块。MRI关节平扫及增强示双侧髋臼及股骨头股骨颈均可见点状小结节状T1WI、T2WI低信号灶,增强后未见强随访半年,病灶无明显变化(图1)。例2男,42岁。因双膝、左下肢及双手肿痛一院检查。查体患者双膝、双下肢及双手各…     

Thoracolithiasis: a case report

We present a rare case of incidentally found mobile thoracolithiasis in a 76-year-old cirrhotic patient on serial computed tomography scans performed before and after transarterial chemoembolization for hepatocellular carcinoma. Mobility and calcification are the important clue to diagnosing this benign condition and avoiding unnecessary surgery.     

Osteopoikilosis: A radiological and pathological study

Anatomico-pathological and radiological studies of osteopoikilosis were performed in two cases, one involving a femoral head, excised after a fracture of a femoral neck, in an elderly man and the other following biopsy of an iliac crest in a young woman. In both patients wide-spread radiological evidence of the disorder was present as an incidental finding. The radiological appearance of rounded and linear densities corresponded to old and inactive remodelling of spongy trabeculae in epiphyseal and metaphyseal locations. The distribution and appearance of these osteopoikilotic densities suggested them to have been related intimately to mechanical strain on spongy bone trabeculae. The diffuse nature of the lesions, their hereditary character, and their possible association with abnormalities of the skin suggest the existence of a particular terrain in which general metabolic conditions of connective tissue may interact with mechanical stresses in bone. Careful analysis of the findings in osteopoikilosis is desirable in order to provide data concerning the physiopathology of the skeleton and to permit more definitive interpretation of localised areas of bone condensation, including those observed not only in solitary bone islands and such conditions as osteopathia striata, but also those associated with infections and tumours.     

颅颜面血管瘤综合征1例

颅颜面血管瘤综合征 ,又称Ｓｔｕｒｇｅ Ｗｅｂｅｒ综合征 ,系先天性颅神经发育异常。本院收诊 1例 ,现报道如下。患者　男 ,2 2岁。因头痛半月就诊。患者足月顺产 ,出生时头大 ,幼时抽风 ,流涎 ,长大后好转。其父母非近亲结婚 ,无家族遗传史。体检 :患者痴呆貌 ,双眼凝视 ,图 1　左顶叶高密度弧带状钙化影　图 2　脑干区示一类圆形高密度钙化影右面部紫红色斑块 ,边界清 ,右肢体细白 ,跛行。门诊以脑发育不良来我科检查。ＣＴ表现 :左侧大脑半球脑实质明显缩小 ,以顶叶为著 ,并弥漫脑皮层脑回状钙化 ,ＣＴ值为 1 2 2ＨＵ(图 1 )。脑干可见…