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误诊为脊柱关节病的成人散发性低磷性骨软化症1例报告
高洁,蔡青*
0
(第二军医大学长海医院风湿免疫科,上海 200433
*通信作者)
摘要:
低磷型骨软化症在临床上少见,极易误诊,是一种由于低磷血症造成的骨基质不能以正常方式进行矿化的代谢性骨病。我们总结1例曾误诊为脊柱关节病的成人散发性低磷型骨软化症患者的临床资料,并结合文献复习低磷型骨软化症的诊断及鉴别诊断方法,旨在提高临床的诊断水平。
关键词:  低磷血症  骨软化症  脊柱关节病  诊断  鉴别诊断  误诊
DOI:10.3724/SP.J.1008.2013.00227
投稿时间:2012-06-05修订日期:2012-07-17
基金项目:上海市科委基础研究重点项目(08JC1406300)
Adult-onset sporadic hypophosphatemic osteomalacia misdiagnosed as spondyloarthropathy: a case report
GAO Jie,CAI Qing*
(Department of Rheumatology and Immunology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding author.)
Abstract:
The disease of hypophosphatemic osteomalacia is clinically rare and easy to be misdiagnosed. It refers to a metabolic bone disease in which bone matrix can not be mineralized in the normal way due to hypophosphatemia. One case report of adult-onset sporadic hypophosphatemic osteomalacia ever misdiagnosed as spondyloarthropathy and related literature were studied. We should master the diagnosis and differential diagnosis of hypophosphatemic osteomalacia to improve the clinic diagnosis and treatment level.
Key words:  hypophosphatemia  osteomalacia  spondyloarthropathy  diagnosis  differential diagnosis  misdiagnosis