Abstract

患者女,27岁.右侧肩关节及右侧手臂肿痛,关节活动障碍10余年.体检:右侧拇指、右前臂外侧及右上臂肿胀、局部不规则隆起,皮肤紧张、发亮.触诊局部高低不平,坚硬,轻度压痛.关节活动障碍.X线平片示右桡骨骨皮质增生硬化,以外侧明显,表面凹凸不平,内侧缘表面较光滑,骨髓腔狭窄;右尺骨末见明确异常;右侧大多角骨、舟状骨、第1、2掌骨、第1指骨、第2指骨近节骨皮质肥厚、硬化;右侧月骨可见斑点状致密影(图1)。

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