CAJ | 학술논문

目的提高临床医生对原发性肥大性骨病的认识.方法报道1例原发性肥大性骨病,对其患者的临床表现、实验室和辅助检查以及诊治过程进行回顾性分析,并进行疾病相关文献复习.结果患者为男性,无家族史,发病年龄16岁;有杵状指(趾)、皮肤增厚、关节肿胀和多汗,X线示骨皮质增厚、骨膜增生,符合肥厚性骨关节病的诊断;应用少量非甾体抗炎药治疗后关节肿胀症状很快缓解.结论青少年男性出现杵状指(趾)、皮肤增生等表现,应及时进行骨骼x线检查,如有骨皮质增厚,可确定原发性肥大性骨关节病的诊断.
목적 제고림상의생대원발성비대성골병적인식.방법 보도1례원발성비대성골병,대기환자적림상표현、실험실화보조검사이급진치과정진행회고성분석,병진행질병상관문헌복습.결과 환자위남성,무가족사,발병년령16세;유저상지(지)、피부증후、관절종창화다한,X선시골피질증후、골막증생,부합비후성골관절병적진단;응용소량비치체항염약치료후관절종창증상흔쾌완해.결론 청소년남성출현저상지(지)、피부증생등표현,응급시진행골격x선검사,여유골피질증후,가학정원발성비대성골관절병적진단.
Objective To improve the understanding and diagnosis of primary hypertrophic os-teoathropathy(PHO).Methods A case of PHO was reported.The clinical data and the process of the diagno-sis and treatment was analyzed retrospectively,and the related literature were reviewed.Results The patient was a young man without family history of PHO.He had symptoms since age 16.He had clubbing fingers and toes,hypertrophic skin,joint swelling,hyperhidrosis and radiographic evidence of periostitis.Thus the disease was diagnosed as PHO.The patient was treated with NSAIDs and the symptoms relieved very quickly.Conclusion Radiographic examination should be taken in time when young males have the general characters of clubbing fingers and toes,hypertrophic skin changes.If the periostitis presents,the final diagnosis of PHO can be confirmed.