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弥漫性特发性骨肥厚临床分析

Tibet's Science & Technology(2018)

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Abstract
弥漫性特发性骨肥厚(diffuse idiopathic skdetd hyperostosis DISH)是指脊柱及脊柱外韧带广泛骨化为主要特征的骨关节退变性疾病,5例患者腰背疼痛以夜间晨起为主,活动后减轻,且枕墙距、指地距阳性与强直性脊柱炎有类似之处,但炎症指标基本正常或稍高,RF、免疫系列、HLA-B27基本正常,骶髂关节CT为退变而非节间隙狭窄、增宽,关节面骨侵蚀破坏.6例患者均体重较大,65岁以上5例,糖耐量异常3例,糖尿病1例,6例患者中3例骨质疏松,2例骨质减少,4例X线均可见腰椎楔形改变.DISH患者内分泌失调可能引发骨质疏松可能、糖尿病.
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