张江林,黄烽.掌跖脓疱病性关节炎影像学表现[J].中国医学影像技术,2005,21(9):1427~1429
掌跖脓疱病性关节炎影像学表现
Radiographic features of arthroosteitis in pustulosis palmaris et plantaris
投稿时间:2005-03-05  修订日期:2005-05-06
DOI:
中文关键词:  掌跖脓疱病  关节炎  体层摄影术,X线计算机  放射摄影术
英文关键词:Palmoplantaris pustulosis  Arthritis  Tomography , X-ray computed  Radiography
基金项目:本课题部分内容受总后“十五”计划面上项目基金(01MB080) 、国家杰出青年科学基金(30025041) 和国家自然科学基金(A30271233) 资助。
作者单位E-mail
张江林 解放军总医院风湿科,北京 100853 zhjl1966@vip.sina.com 
黄烽 解放军总医院风湿科,北京 100853 fhuang@301hospital.com.cn 
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中文摘要:
      目的 观察掌跖脓疱病性关节炎的影像学表现。方法 回顾性分析6 例掌跖脓疱病患者所伴随的关节病变影像学特征。6 例患者均有胸锁关节肿痛、腰背疼痛和手足脓疱疹,无小关节受累及关节外表现; HLA-B27 均为阴性。结果 2 例CT 示:胸锁关节增生、硬化;6 例骶髂关节CT 检查均未发现骶髂关节炎。结论 胸锁关节肿痛及腰背疼痛是掌跖脓疱病性关节炎的主要表现,CT 显示的胸锁关节增生硬化性改变和无骶髂关节炎是本病的影像学特征
英文摘要:
      Objective  To better understand the radiological manifestation of arthroosteitis in pustulosis palmaris et plantaris. Methods  The clinical and radiological manifestation of 6 patient s with arthroosteitis in pustulosis palmaris et plantariswere ret rospectively analyzed. Among 6 patients , the average disease duration was 39 months. The pustulosis palmaris etplantaris and the sternoclavicular arthritis and spinal pain were simultaneously observed in 6 patients. No involvement ofsmall joint s and ext ra2articular features such as enthesopathy and uveitis were found. HLA-B27 was negative in all patients.Results  No sacroiliitis was found on CT of sacroiliac joint . The hyperplasia and ossification of sternoclavicular joint wasshowed on CT. The unilateral ossified ligament was observed on spinal X-ray. Conclusion  The sternoclavicular arthritis andspinal pain were main features of arthroosteitis in pustulosis palmaris et plantaris. The ossification of sternoclavicular jointand no sacroiliitis on CT were specific features in this disease.
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