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骨嗜酸性肉芽肿少见,多发生于6~10岁的小儿。颅骨,骨盆等扁骨为其好发部位。而发生于成年人腕舟骨者实属罕见。笔者遇到1例,经手术病理证实,现报告如下。1 病例介绍 患者男性,27岁。因右腕部疼痛1月而就诊,1月前患者右腕部曾有轻微外伤史。 临床检查:右侧腕部桡侧压痛,局部无肿块,皮肤色泽、温度正常;右腕关节活动轻度受限。实验室检查:抗“O”(一);类风湿因子(一);红细胞5.2×10~(12)/L,白细胞11.6×10~9/L,中性0.75,淋巴0.25;血沉2mm/h。
Eosinophilic granuloma of bone is rare and occurs in children aged 6 to 10 years. Skull, pelvis and other flat bones are their predilection sites. Occurrences in adult scaphoids are rare. The author encountered 1 case, confirmed by surgery and pathology, the report is as follows. 1 Case presentation The patient is male and is 27 years old. The patient suffered a pain in the right wrist for 1 month, and the patient’s right wrist had a history of minor trauma just before January. Clinical examination: radial tenderness of the right wrist, no local mass, skin color, normal temperature, mild right wrist motion limitation. Laboratory tests: anti-“O” (a); rheumatoid factor (a); red blood cells 5.2 × 10 ~ (12) / L, white blood cells 11.6 × 10 ~ 9 / L, neutral 0.75, lymphoid 0.25; ESR 2mm / h .