Gallo M, Chianese U, Calvanese A, Antico C N, Tirri G
Istituto di Clinica Medica, I Facoltà di Medicina e Chirurgia dell'Università di Napoli.
Clin Ter. 1991 Jul 31;138(2):101-3.
The case is reported of a patient with monoclonal gammopathy of undetermined significance (M.G.U.S.) in whom suddenly an acute polyarthritis appeared. Upon differential diagnosis, this arthropathy was attributed to the precipitation of paraprotein-containing complexes within the synovial fluid leading to an inflammatory articular reaction. Treatment with low doses of methylprednisolone lead to complete remission of this arthritis.
报告了一例意义未明的单克隆丙种球蛋白病(MGUS)患者,该患者突然出现急性多关节炎。在鉴别诊断中,这种关节病被归因于滑膜液中含副蛋白复合物的沉淀,导致炎症性关节反应。低剂量甲泼尼龙治疗使这种关节炎完全缓解。