A roentgenologically distinctive arthropathy in some patients with the pseudogout syndrome.

A roentgenologically distinctive arthropathy in some patients with the pseudogout syndrome.
复制标题

一些假痛风综合征患者的一种X线学上独特的关节病。

DOI:
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发表时间:
1970
期刊:
The American journal of roentgenology, radium therapy, and nuclear medicine
影响因子:
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通讯作者:
Carter Tl
Carter Tl
中科院分区:
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文献类型:
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作者:
William Martel;Champion Ck;Thompson Gr;Carter Tl

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在一些假性痛风患者中,可观察到具有放射学特征的退行性关节病。虽然软骨钙沉积症和反复发作的关节炎症可能会导致继发性骨关节炎,但某些假性老年病患者似乎有一种形式的原发性软骨退化。这通常会导致软骨钙化,在尚不清楚的情况下,可能会导致假性耳聋综合征。关节病通常是严重的和全身性的,表现为好发于肘部、手腕、脚踝和膝盖,特别是掌指关节。散在的软骨下稀少突起,可能代表“退行性囊肿”,具有特征性和显着性,可能先于X线上明显的软骨退变钙化。关节旁、肌腱和法氏囊钙化经常伴随这种类型的关节病。假性口疮患者可能表现为手部弥漫性肿胀,可能是严重的手部肿胀。
A degenerative arthropathy which is characteristic roentgenologically may be observed in some patients with pseudogout. Although it is possible that chondrocalcinosis and repeated bouts of joint inflammation may lead to a secondary osteoarthritis, certain pseudogout patients appear to have a form of primary cartilage degeneration. This frequently causes cartilage calcification which may, under circumstances that are not well understood, lead to the pseudogout syndrome. The arthropathy is often severe and generalized and shows a predilection for the elbows, wrists, ankles, and knees and, in particular, the metacarpophalangeal joints. Discrete subchondral rarefactions, probably representing "degenerative cysts," are characteristic and conspicuous and may develop prior to roentgenologically apparent cartilage degeneration of calcification. Paraarticular, tendon and bursal calcification frequently accompanies this type of arthropathy. Pseudogout patients may present with diffuse swelling of a hand possibly du...