关键词: 3D, three-dimensional 4D, four-dimensional CKD, chronic kidney disease CKD-MBD, chronic kidney disease–mineral and bone disorder CT, Computed tomography Computed tomography Craniofacial ESRD, end-stage renal disease KDIGO, Kidney Disease-Improving Global Outcomes Leontiasis ossea MRI, Magnetic resonance imaging PTH, parathyroid hormone ROD, renal osteodystrophy Renal osteodystrophy SHPT, secondary hyperparathyroidism ULO, uremic leontiasis ossea Uremic 3D, three-dimensional 4D, four-dimensional CKD, chronic kidney disease CKD-MBD, chronic kidney disease–mineral and bone disorder CT, Computed tomography Computed tomography Craniofacial ESRD, end-stage renal disease KDIGO, Kidney Disease-Improving Global Outcomes Leontiasis ossea MRI, Magnetic resonance imaging PTH, parathyroid hormone ROD, renal osteodystrophy Renal osteodystrophy SHPT, secondary hyperparathyroidism ULO, uremic leontiasis ossea Uremic

来  源:   DOI:10.1016/j.radcr.2021.11.061   PDF(Pubmed)

Abstract:
Skeletal changes are a common complication in patients with chronic kidney disease and traditionally labelled as renal osteodystrophy. Uremic leontiasis ossea is a rare and severe form of renal osteodystrophy with characteristic overgrowth of the craniofacial bones. Imaging, in particular computed tomography, is valuable for the diagnosis and management of such rare condition. Uremic leontiasis ossea has distinctive imaging features with significant overgrowth of the jaw and characteristic internal serpiginous tunneling. The recognition of its radiological appearance and abrupt management are essential to avoid its devastating esthetic and functional impairments.
摘要:
骨骼变化是慢性肾脏疾病患者的常见并发症,传统上称为肾性骨营养不良。尿毒症性骨病是一种罕见且严重的肾性骨营养不良,具有颅面骨骼的特征性过度生长。成像,特别是计算机断层扫描,对于这种罕见疾病的诊断和治疗是有价值的。尿毒症性大骨虫具有独特的影像学特征,颌骨明显过度生长和特征性的内部蛇形隧道。识别其放射学外观和突然管理对于避免其破坏性的美学和功能损害至关重要。
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