褐黄病性关节病一例并文献复习  

Ochronotic arthritis: one case report and literature review

作　　者：董国章 Dong Guozhang(Department of Orthopedics, the Second Municipal Hospital of Weihai Affiliated to Qingdao University, Weihai, Shandong 2642000,China)

机构地区：[1]青岛大学附属威海市立第二医院骨科,264200

出　　处：《中国基层医药》2019年第8期976-978,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的总结褐黄病性关节病的临床表现、诊断及治疗方法,提高基层医院医务人员对褐黄病性关节病的认识.方法对青岛大学附属威海市立第二医院2016年9月收治的1例褐黄病性关节病的临床资料结合文献进行分析结果患者男性,65岁,因不慎摔伤致右侧股骨颈骨折入院,患者双侧耳软骨和对耳轮局部有蓝黑色色素沉着,术中切除的股骨头表面软骨变黑,圆韧带颜色发暗,髋关节部分关节囊呈暗黑,腰椎多节段椎间隙变窄,椎间盘硬化,实验室尿液硝酸银和氢氧化铵检查出现深褐色的变色,均证实了患者褐黄病性关节病的诊断二结论应提高对褐黄病性关节病的认知,通过病史、临床表现、实验室及影像学检查,可明确诊断褐黄病性关节病,降低漏诊率.Objective To summaiize the clinical manifestation,diagnosis cind treatment methods of ochronotic joint disease, thus to improve grassroots medical workers awareness of ochronotic arthritis. Methods The clinical data of 1 case of ochronotic arthritis in the Second Municipal Hospital of Weihai Affiliated to Qingdao University and literature data were analyzed. Results The male patient, 65 years old, because the right femoral neck fracture admitted to accidentally falls in patients with bilateral antihelix ear cartilage and local black pigmentation , resection of the femonil head cartilage surface, black, dark color round ligament, partial hip joint capsule was dark, multi segmental lumbar vertebral intervertebral space narrowing disc hardening, laboratory urine silver nitrate and ammonium hydroxide examination appear dark brown discoloration, confirmed the diagnosis of patients with ochronotic joint disease. Conclusion We should improve cognition of ochronotic joint disease, examination by medical history, clinical manifestations ,laboratory7 and imaging,diagnosis of ochronotic arthritis,thus to reduce the rate of misdiagnosis.

关 键 词：关节疾病 褐黄病 病例报告 综述文献(主题) 

分 类 号：R589[医药卫生—内分泌] R684[医药卫生—内科学]