양측 고관절 및 복부의 통증으로 방문하여 신경모세포종으로 진단된 3세 남자 환자
Neuroblastoma in a 3-year-old boy presenting with pain in the bilateral hip and abdomen
권재현, 김중헌, 송인혜, 류정민,
소속 상세정보
권재현 ( Kwon Jae-Hyun )
울산대학교 의과대학 소아청소년과학교실
김중헌 ( Kim Jung-Heon )
울산대학교 의과대학 응급의학교실
송인혜 ( Song In-Hye )
울산대학교 의과대학 서울아산병원 병리과
류정민 ( Ryu Jeong-Min )
울산대학교 의과대학 응급의학교실
KMID : 1037620160030020059
Abstract
A 3-year-old boy presented to our emergency department with a 3-week history of pain in the bilateral hip and abdomen that had persisted through antibiotic therapy based on diagnosis of acute osteomyelitis. At presentation, he had fever, anemia, and increased concentration of lactate dehydrogenase. After the identification of a left adrenal mass indicating neuroblastoma on computed tomography scan, he was admitted to the hospital by a pediatric oncologist. Subsequently, positron emission tomography and bone scintigraphy showed disseminated metastasis to the bone and bone marrow, and neuroblastoma was pathologically confirmed. This case highlights the importance of differential diagnosis of non-traumatic hip pain in toddlers considering the protean manifestations of neuroblastoma.
키워드
Child; Diagnosis; Differential; Emergencies; Hip; Neuroblastoma; Pain
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