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Monostotic Paget's Disease: A Case Report

單一骨頭Paget's Disease:病例報告

摘要


Paget's disease非常少見於亞洲,尤其是中國人和日本人,較常見於英格蘭、澳洲和紐西蘭。它常是多發性骨頭疾病,常侵犯骨盆骨頭、腰椎、頭蓋骨、股骨、脛骨,甚至廣泛侵犯全身骨頭。單一骨頭Paget疾病約占全部Paget疾病的10-35%。我們提出一個非常少見的單一骨頭Paget疾病,左邊的股骨包括骨幹,遠端的骨啱都被Paget疾病浸潤,而且X光的表現相當的典型:如皮質變厚,骨小樑變粗,骨頭彎曲變形和變大。病人有二度退化性關節炎,是Paget疾病的併發症。核子醫學掃瞄檢查是否有其它骨頭被侵犯,核磁共振檢查是否有肉瘤的變化,它是Paget疾病最嚴重的併發症。

關鍵字

骨頭 變形骨炎

並列摘要


Paget's disease is rare in the Chinese. We present a patient who had a rare monostotic Paget's disease involving middle diaphysis, distal metaphysis and epiphysis of left femur. Characteristic radiological findings include cortical thickening, coarse trabeculae, osseous expansion and enlargement, and bowing deformity of bone. The patient also had osteo-arthritis of the knee, which can be a complication of Paget's disease.

並列關鍵字

Paget's disease Osteitis deformans

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