DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS (DISH) - FORESTIERS DISEASE WITH EXTRASPINAL MANIFESTATIONS

DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS (DISH) - FORESTIERS DISEASE WITH EXTRASPINAL MANIFESTATIONS
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DOI:
10.1148/15.3.513
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发表时间:
1975-01-01
期刊:
影响因子:
19.7
通讯作者:
ROBINS, JM
ROBINS, JM
中科院分区:
医学1区
文献类型:
--
作者:
RESNICK, D;SHAUL, SR;ROBINS, JM

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本文报告21例特发性弥漫性骨质增生症的椎外表现,建议以弥漫性特发性骨质增生症(DISH)来描述这种骨化素质。所有个体都存在脊柱特征性的伦琴异常,并与显著的轴性临床症状相关。在脊柱外部位,韧带附着处的骨质增生症通常发生在骨盆、跟骨、颧骨、尺骨鹰嘴和膝盖骨,偶尔伴有需要手术的临床体征和症状。即使在没有轴位X线片的情况下,外周骨骼中的X线表现通常也是独特的,使放射科医生能够提出正确的诊断建议。
The extraspinal manifestations of Forestier s disease are described in 21 consecutive cases; diffuse idiopathic skeletal hyperostosis (DISH) is suggested as a more appropriate description of this ossifying diathesis. Characteristic roentgen abnormalities of the spine were present in all individuals and associated with significant axial clinical complaints. In extraspinal locations, hyperostosis at ligament attachments usually occurs in the pelvis, calcaneus, tarsal bones, ulnar olecranon and patella, and is occasionally associated with clinical signs and symptoms requiring surgery. The radiographic appearance in the peripheral skeleton is frequently distinctive and allows the radiologist to suggest the correct diagnosis, even in the absence of axial radiographs.