早发型先天性骨梅毒X线表现分析(附3例报告及文献复习)  

Radiological characteristics of precocious congenital skeletal syphilis:report of 3 cases and review of the literature

作　　者：许建军 李金国 洪鸿图 王中秋[2] 

机构地区：[1]福建省南安市海都医院放射科,福建南安362342 [2]南京军区南京总医院影像科

出　　处：《实用医学影像杂志》2007年第2期98-99,110,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨早发型先天性骨梅毒X线表现和特点,诊断要点和鉴别诊断。方法收集资料完整早发型先天性骨梅毒3例,分析其X线表现和特点并复习文献。结果3例均表现多发、对称的干骺端炎、骨膜炎,1例表现骨干炎,1例表现典型“猫咬征”。结论多发、对称干骺端炎、骨膜炎为早发型先天性骨梅毒X线特点,婴儿期“猫咬证”为较特征性X线改变。X线检查能明确诊断并确定病变范围及程度,对疑有先天性梅毒或临床RPR阳性患儿应常规作四肢长骨X线摄影。Objective To study the radiological characteristics, diagnostic gist and differential diagnosis of precocious congenital skeletal syphilis（PCSS）. Methods Three patients with full data of PCSS were collected and then their radiological findings and characteristics were analyzed together with review of the literature. Results On radiographs, all 3 cases presented multiple symmetric metaphysitis, of whom, one presented diaphysis and one presented＂cat - bite＂ sign. Conclusion The radiological characteristics of PCSS arc multiple symmetric metaphysitis, diaphysitis, periostitis and＂cat - bite＂sign. Radiography is very helpful in diagnosing and identifying the extent and degree of the foci so that radiography of the extremities should be routinely taken in ill infants who are suspected of having PCSS or positive reaction of RPR test.

关 键 词：先天性骨梅毒 干骺端炎 骨膜炎 猫咬征 X线摄影术 

分 类 号：R816.92[医药卫生—放射医学]