Spectrum of Voriconazole-Induced Periostitis With Review of the Differential Diagnosis

被引:18
作者
Tan, Isaiah [1 ]
Lomasney, Laurie [2 ]
Stacy, Gregory Scott [3 ]
Lazarus, Martin [4 ]
Mar, Winnie Anne [1 ]
机构
[1] Univ Illinois, Dept Radiol, Coll Med, 1740 W Taylor St,Rm 2483,MC 931, Chicago, IL 60612 USA
[2] Loyola Univ Hlth Syst, Maywood, IL USA
[3] Univ Chicago, Med Ctr, Chicago, IL 60637 USA
[4] NorthShore Univ Hlth Syst, Evanston, IL USA
关键词
fluorosis; hypertrophic osteoarthropathy; hypervitaminosis A; periostitis; thyroid acropachy; venous stasis; voriconazole; HYPERTROPHIC OSTEOARTHROPATHY; TRANSPLANT; FLUORIDE; THERAPY; DEFORMANS; FLUOROSIS; SECONDARY; DISEASE; LESIONS;
D O I
10.2214/AJR.18.19991
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. Voriconazole is an antifungal medication used primarily for the treatment of Candida and Aspergillus infections. A fairly newly described side effect of long-term voriconazole use is periostitis. The purpose of this article is to describe the main differential consideration-hypertrophic osteoarthropathy-and other differential diagnoses, including venous stasis, thyroid acropachy, and hypervitaminosis A. CONCLUSION. With knowledge of imaging appearance, clinical manifestations, and outcomes, radiologists can make an accurate diagnosis of voriconazole-induced periostitis, and clinical teams can initiate appropriate management.
引用
收藏
页码:157 / 165
页数:9
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