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首页> 外文期刊>Radiologia Brasileira >Stress fracture and osteomyelitis in a patient with systemic lupus erythematosus
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Stress fracture and osteomyelitis in a patient with systemic lupus erythematosus

机译:系统性红斑狼疮患者的应力性骨折和骨髓炎

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A 38-year-old woman who had been diagnosed with severe systemic lupus erythematosus (SLE) 15 years prior, had refrac tory nephritis, and had been treated with high-dose corticoste roids and immunosuppressive drugs (cyclophosphamide, my cophenolate mofetil, and rituximab), presented with a several week history of pain and edema on the dorsum of the left foot after wearing tight shoes. She had extremely low bone density, which had been treated with bisphosphonate and teriparatide. Magnetic resonance imaging (MRI) of the left foot showed a diaphyseal fracture of the second metatarsal with extensive fluid collection and peripheral contrast enhancement of the sur rounding tissue, indicating an abscess (Figure 1).
机译:一名38岁的女性,在15年前被诊断出患有严重的系统性红斑狼疮(SLE),再次患有肾炎,并接受了大剂量皮质类固醇激素和免疫抑制剂(环磷酰胺,我的联苯酚莫非替尼和利妥昔单抗的治疗) ),穿着紧身鞋后,有左脚背部疼痛和水肿几周的历史。她的骨密度极低,已用双膦酸盐和特立帕肽治疗。左脚的磁共振成像(MRI)显示第二meta骨干dia端骨折,广泛收集液体,周围组织周围对比度增强,表明脓肿(图1)。

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