论文部分内容阅读
1病例介绍例1男,44岁。因无明显诱因出现左拇指疼痛伴肿胀,逐渐加重2年入院。既往于外院诊断为骨髓炎。检查:左拇指弥漫性肿胀,皮色正常,皮温略高,指间关节主、被动活动明显受限,指端感觉正常。实验室检查:白细胞计数、类风湿因子O、尿酸、红细胞沉降率、C反应蛋白均正常。X线片检查示拇指近节指骨颈掌侧一团块样密度增高区,指骨增粗,皮质硬化(图1 a);99Tc放射性骨扫描发现左拇指近节指骨骨盐代谢异常
A case introduction example 1 male, 44 years old. There is no obvious incentive to appear with the left thumb pain and swelling, and gradually increased 2 years admitted to hospital. Past diagnosis of osteomyelitis outside the hospital. Check: diffuse swelling of the left thumb, normal skin color, skin temperature slightly higher, the main interphalangeal joint, passive activity was significantly limited, finger side of the normal feeling. Laboratory tests: white blood cell count, rheumatoid factor O, uric acid, erythrocyte sedimentation rate, C-reactive protein were normal. X-ray examination showed the proximal phalanx of the thumb phalanx a dart mass density, phalanx thickening, cortical sclerosis (Figure 1 a); 99Tc radioactive bone scan revealed proximal thumb phalanx bone mineral metabolism