DOI QR코드

DOI QR Code

소아 근골격계 감염성 질환 및 염증성 질환의 영상 소견

Imaging Findings in Pediatric Musculoskeletal Infection and Inflammation

  • 김지영 (서울대학교 의과대학 분당서울대학교병원 영상의학과)
  • Ji Young Kim (Department of Radiology, Seoul National University Bundang Hospital, Seoul National University)
  • 투고 : 2024.04.22
  • 심사 : 2024.05.28
  • 발행 : 2024.05.01

초록

소아 환자의 아직 미성숙한 근골격계 감염 및 염증성 질환은 뼈 뿐만 아니라 인접한 근육을 포함한 연조직 및 관절에 영향을 미친다. 빠른 진단을 통한 적절한 치료가 후유증 발생 여부나 질환에 의한 이환율 및 사망률에 큰 영향을 끼칠 수 있다. 소아 환자의 근골격계 감염 및 염증성 질환의 영상 소견에 익숙해진다면, 보다 빠른 진단을 가능하게 할 뿐 아니라 및 치료의 적절성 평가에도 도움을 줄 수 있을 것이다. 이 논문에서는 소아의 미성숙한 근골격계의 해부학적 특징을 포함한 병리 생리학적 특징을 설명하고, 이를 바탕으로 하여 골수염, 연조직 감염 및 비감염성 염증성 관절 질환의 영상 소견을 소개하고자 한다.

Infections and inflammatory conditions of immature musculoskeletal systems in pediatric patients also affect the adjacent muscles, connective tissues, and joints. Rapid diagnosis leading to appropriate treatment can significantly impact the occurrence of complications and mortality rates due to these conditions. When a radiologist becomes familiar with the imaging findings of pediatric musculoskeletal infections and inflammatory diseases, rapid differential diagnoses and more timely and appropirate treatment could be possible. In this paper, we introduce the imaging findings of infectious and inflammatory diseases affecting the immature musculoskeletal system, such as osteomyelitis, pyogenic arthritis, juvenile idiopathic arthritis, and hemophilic arthritis, based on the anatomical and pathophysiological characteristics of the immature musculoskeletal system in children.

키워드

참고문헌

  1. van Schuppen J, van Doorn MM, van Rijn RR. Childhood osteomyelitis: imaging characteristics. Insights Imaging 2012;3:519-533 
  2. Lew DP, Waldvogel FA. Osteomyelitis. Lancet 2004;364:369-379 
  3. Jaramillo D. Infection: musculoskeletal. Pediatr Radiol 2011;41(Suppl 1):S127-S134 
  4. Dartnell J, Ramachandran M, Katchburian M. Haematogenous acute and subacute paediatric osteomyelitis: a systematic review of the literature. J Bone Joint Surg Br 2012;94:584-595 
  5. DiPoce J, Jbara ME, Brenner AI. Pediatric osteomyelitis: a scintigraphic case-based review. Radiographics 2012;32:865-878 
  6. van der Naald N, Smeeing DPJ, Houwert RM, Hietbrink F, Govaert GAM, van der Velde D. Brodie's abscess: a systematic review of reported cases. J Bone Jt Infect 2019;4:33-39 
  7. Chaudhry AA, Baker KS, Gould ES, Gupta R. Necrotizing fasciitis and its mimics: what radiologists need to know. AJR Am J Roentgenol 2015;204:128-139 
  8. Gigante A, Coppa V, Marinelli M, Giampaolini N, Falcioni D, Specchia N. Acute osteomyelitis and septic arthritis in children: a systematic review of systematic reviews. Eur Rev Med Pharmacol Sci 2019;23(2 Suppl):145-158 
  9. Graif M, Schweitzer ME, Deely D, Matteucci T. The septic versus nonseptic inflamed joint: MRI characteristics. Skeletal Radiol 1999;28:616-620 
  10. Frank G, Mahoney HM, Eppes SC. Musculoskeletal infections in children. Pediatr Clin North Am 2005;52:1083-1106, ix 
  11. Thatayatikom A, Modica R, De Leucio A. Juvenile idiopathic arthritis. Treasure Island: StatPearls Publishing 2023 
  12. Petty RE, Southwood TR, Manners P, Baum J, Glass DN, Goldenberg J, et al. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. J Rheumatol 2004;31:390-392 
  13. Babyn P, Doria AS. Radiologic investigation of rheumatic diseases. Rheum Dis Clin North Am 2007;33:403-440 
  14. Venkateswaran L, Wilimas JA, Jones DJ, Nuss R. Mild hemophilia in children: prevalence, complications, and treatment. J Pediatr Hematol Oncol 1998;20:32-35