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假性甲状旁腺机能减退症(附一家系六例报告)
Pseudohypoparathyroidism (a report of 6 patients in a family)
【摘要】 目的 提高对假性甲状旁腺机能减退症 (PHP)的认识和诊断。方法 发现PHP先证者后 ,对其家族进行了调查。该家族共 4代 6例患者 ,男 4例 (死亡 2例 ) ,女 2例。现存 4例年龄最大者 5 5岁 ,最小者 8岁。 6例均经临床生化证实 ,选择 2例摄取手平片和头颅CT片。结果 6例均有典型的Albright遗传性骨营养不良症体型、短指 (趾 )畸形。 2例行X线检查者表现为掌、指骨粗短 ,颅骨增厚、基底节区呈对称性钙化。结论 影像学表现与临床特点相结合 ,可对PHP做出明确诊断。
【Abstract】 Objective To improve the recognition and diagnosis of pseudohypoparathyroidism (PHP). Methods Six subjects with PHP of 4 generations in one family were investigated and studied. There were 4 males (including 2 deaths) and 2 females. The age of 4 surviving patients was from 8 to 55 years. All cases were proved by clinical biochemistry tests. Plain film of hands and head CT scans were performed in 2 selected patients. Results The somatotype of Albright hereditary osteodystrophy (AHO) and short fingers and toes were found in all cases. Radiologic features were as follows:(1)short metacarpals and phalanges.(2)skull thickening and symmetrical calcification of basal ganglia. Conclusion The diagnosis of PHP can be established by close combination of radiologic findings and clinical manifestations.
【Key words】 Pseudohypoparathyroidism; Bone diseases, metabolic; Diagnostic imaging;
- 【文献出处】 中华放射学杂志 ,Chinese Journal of Radiology , 编辑部邮箱 ,2001年05期
- 【分类号】R582.1
- 【被引频次】20
- 【下载频次】132