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首页> 外文期刊>Mayo Clinic Proceedings: Innovations, Quality & Outcomes >Progressive Monoarticular Inflammatory Arthritis Following Influenza Vaccination
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Progressive Monoarticular Inflammatory Arthritis Following Influenza Vaccination

机译：流感疫苗接种后的渐进式单颗粒性炎症性关节炎

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Musculoskeletal injury is an uncommon but usually self-limited complication of vaccine administration. We present a case of progressive inflammatory monoarthritis of the shoulder characterized by bone erosion, bursitis, and severe synovitis caused by an influenza vaccine administered to the ipsilateral deltoid region. Clinical symptoms began within 2 hours of vaccination, with progressive decline in function over 6 weeks. Magnetic resonance imaging examinations performed 5 months apart demonstrated progressive erosive changes of the greater tuberosity, rotator cuff injury, and extensive enhancing synovitis of the glenohumeral joint and subacromial/subdeltoid bursa. After the exclusion of septic arthritis and osteomyelitis, the patient underwent nonoperative treatment and experienced near-complete recovery at 32 months. Although inflammatory arthritis of the shoulder following vaccination is rare, there have been previous reports of it. Clinicians and radiologists need to be aware of this potential complication to ensure an accurate diagnosis.
机译：肌肉骨骼损伤是一种罕见的，但通常是疫苗给药的自我限制并发症。我们展示了由骨腐蚀，囊炎和严重的滑膜炎的肩部患者的逐渐炎症单细胞炎，由施用到同侧滴度区域引起的。临床症状在疫苗接种2小时内开始，逐步下降6周。磁共振成像考试发生5个月，除了较大的结节，旋转箍损伤和胶质瘤关节和亚脉络癌/亚卧制Bursa的广泛增强的滑膜炎的渐进侵蚀变化。排除脓毒症关节炎和骨髓炎后，患者在32个月内接近完全恢复并经历了接近完全的恢复。尽管疫苗接种后肩部的炎症性关节炎是罕见的，但之前有过的报道。临床医生和放射科医生需要意识到这种潜在的并发症，以确保准确的诊断。

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