弥散性凝缩性骨病

D. André, F. Gouveia, H. Luís, J. Gaspar
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引用次数: 0

摘要

32岁女性患者,无个人病史或习惯性止痛药物,因左半胸外伤后疼痛主诉就诊急诊,无相关骨折。影像学证实,在肱骨、股骨和骨盆带水平存在对称的不透射线改变,影响关节区域。客观检查和分析均无明显变化。患者继续在内科随访,诊断为骨质疏松症。这种良性实体,常染色体显性遗传与可变外显率,往往是偶然诊断。它折磨男女,往往出现在儿童时期,持续整个病人的生活。通常,它们的分布是对称的,影响骨骼的关节区域。
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Disseminated Condensing Osteopathy
A 32-year-old female patient, with no personal history or habitual medication of relief, resorted to the emergency department for pain complaints following trauma to the left hemithorax, with no associated fracture. Imagiologically, the presence of symmetrical radiopaque changes affecting the joint regions at the level of the humerus, femurs and pelvic girdle was verified. Both in the objective examination and analytically, there were no changes. The patient continued to be followed up in Internal Medicine, with the diagnosis of Osteopoikilosis. This benign entity, of autosomal dominant transmission with variable penetrance, is often diagnosed by chance. It afflicts both genders and tends to appear in childhood, persisting throughout the patient's life. As a rule, they have a symmetrical distribution and affect just-articular areas of the bone skeleton.
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