膝外翻和板层状鱼鳞病:一种罕见的表现。

Ajay Dodeja, Kirtee Meshram, Sushil Pande, Yash Shewale, Ruchika Nevse
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引用次数: 0

摘要

皮肤产生维生素D的主要途径是暴露在紫外线B射线下,而维生素D是钙代谢和骨骼健康所必需的。长期的皮肤疾病,如鱼鳞病,会阻止皮肤产生足够的维生素D,导致缺乏和骨骼健康问题。本报告强调需要采取维生素D不足及其后遗症纳入临床护理,提出了一例膝外翻患者板层状鱼鳞病。早期的研究也显示了类似的相关性,强调了继续监测和教育患有慢性皮肤问题的患者骨骼健康的必要性。病例报告:一名15岁的印度男孩来到骨科门诊,主诉过去6个月的板层鱼鳞病、进行性膝盖畸形和行走困难,最近一个月加重。经检查,患者双膝外翻,皮肤大面积鳞状病变,生化指标为维生素D不足。结论:本病例研究强调了慢性皮肤病患者早期诊断和治疗肌肉骨骼疾病的重要性。它也突出了膝外翻和板层状鱼鳞病之间的不寻常的联系。它强调了在管理困难患者和影响儿科皮肤病学、骨科和其他医学学科方面需要跨学科的团队合作。它还有助于研究皮肤状况和骨科问题之间的关系,旨在改善患者的预后和护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation.

Introduction: The main way that the skin produces Vitamin D, which is necessary for calcium metabolism and skeletal health, is through exposure to ultraviolet B rays. Long-term skin disorders such as ichthyosis can prevent the skin from producing enough Vitamin D, leading to deficiencies and issues with bone health. This report highlights the need to take Vitamin D insufficiency and its sequelae into account in clinical care by presenting a case of genu valgum in a patient with lamellar ichthyosis. Similar correlations have also been shown in earlier research, underscoring the necessity of continuing to monitor and educate patients with chronic skin problems about their bone health.

Case report: A 15-year-old Indian boy came to the orthopedic outpatient department complaining of lamellar ichthyosis, progressive knee deformity, and trouble walking over the last 6 months, with a recent exacerbation in the previous month. Upon examination, he had bilateral genu valgum, widespread scaly skin lesions, and biochemical indications of Vitamin D insufficiency.

Conclusion: This case study underscores the importance of early diagnosis and treatment of musculoskeletal disorders in patients with chronic skin conditions. It also highlights the unusual association between genu valgum and lamellar ichthyosis. It underscores the need for interdisciplinary teamwork in managing difficult patients and influencing pediatric dermatology, orthopedics, and other medical disciplines. It also contributes to research on the relationship between skin conditions and orthopedic problems, aiming to improve patient outcomes and care.

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