关键词: bone resorption humeral head parathyroid hormone (pth) pseudohypoparathyroidism slipped capital femoral epiphysis vara deformity

来  源:   DOI:10.7759/cureus.53250   PDF(Pubmed)

Abstract:
Pseudohypoparathyroidism is a rare disorder characterized by end-organ resistance to intact parathyroid hormone (PTH) and concomitant laboratory findings of hypocalcemia and hyperphosphatemia. Radiologic evidence of the disease may manifest as a variety of bone abnormalities. This case describes an 11-year-old female with a history of repaired bilateral slipped capital femoral epiphysis who presented with a limited range of motion of the bilateral upper extremities. Laboratory findings were consistent with pseudohypoparathyroidism. Radiographs revealed subchondral resorption of bilateral clavicular heads and multiple ribs and band lucencies of proximal humeral metaphyses, along with vara deformity and inferior subluxation of the humeral heads. This presentation adds to the spectrum of potential radiographic manifestations of pseudohypoparathyroidism.
摘要:
假性甲状旁腺功能减退症是一种罕见的疾病,其特征是对完整的甲状旁腺激素(PTH)的终末器官抵抗,并伴有低钙血症和高磷血症的实验室发现。该疾病的放射学证据可表现为多种骨异常。该病例描述了一名11岁的女性,有修复的双侧滑脱股骨骨epi病史,双侧上肢的活动范围有限。实验室检查结果与假性甲状旁腺功能减退症一致。X线照片显示双侧锁骨头和多根肋骨的软骨下吸收以及肱骨近端干干mis端的带状透明,伴有内翻骨畸形和肱骨头下半脱位。此演示文稿增加了假性甲状旁腺功能减退症的潜在影像学表现。
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