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首页> 外文期刊>Open Journal of Urology >Fibrosis of the Quadriceps Muscles Secondary to Sickle Cell Disease: A Case Report
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Fibrosis of the Quadriceps Muscles Secondary to Sickle Cell Disease: A Case Report

机译:镰状细胞病继发的股四头肌纤维化:一例报告

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The musculo-skeletal system is commonly affected in sickle cell disease, manifesting itself as bone infarction, femoral head osteonecrosis, osteomyelitis, myonecrosis, myofibrosis and fascitis. Myositis and fasciitis are observed during a vaso-occlusive crisis in 4% of patients. Pain and swelling of bilateral proximal groups of muscles of upper and lower limbs are common presenting complaints due to prolonged sickling crises [1]. We report a case of 30-year old known HbSS patient with bilateral knee stiffness of two months duration, with associated swelling and warmth of both thighs. No preceding history of trauma. He was said to suffer at least two sickling crises in a month with the last one occurring one week prior to presentation. X-ray of the thigh showed no calcification in muscle groups. He was commenced on flexion-extension exercises.
机译:肌肉骨骼系统通常受镰状细胞病的影响,表现为骨梗死,股骨头坏死,骨髓炎,肌坏死,肌纤维化和筋膜炎。在4%的患者发生血管闭塞性危象期间观察到了肌炎和筋膜炎。由于长时间的镰刀危机,上肢和下肢双侧近端肌肉的疼痛和肿胀是常见的主诉[1]。我们报告了一例30岁的HbSS患者,双侧膝关节僵硬持续两个月,伴有大腿肿胀和温暖。没有外伤史。据说他一个月内至少遭受两次镰状危机,最后一次发生在就诊前一周。大腿的X射线显示肌肉组未见钙化。他开始进行屈伸练习。

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