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并发磷灰石相关破坏性关节病的脓毒性关节炎。

Septic arthritis complicating apatite associated destructive arthropathy.

作者信息

Jones A, Henderson M J, Berman P, Doherty M

机构信息

Health Care of the Elderly Unit, City Hospital, Nottingham.

出版信息

Ann Rheum Dis. 1990 Dec;49(12):1005-7. doi: 10.1136/ard.49.12.1005.

DOI:10.1136/ard.49.12.1005
PMID:2270959
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1004298/
Abstract

Septic arthritis can complicate many forms of arthritis. Two cases of apatite associated destructive arthropathy (AADA) complicated by sepsis are described. Diagnosis of this complication in the setting of severe joint damage is difficult as AADA and sepsis share certain characteristics--an initial, rapidly progressive, severely painful course and radiographs which show rapidly destructive changes with marked cartilage loss, bone attrition, and virtual absence of osteophyte or cyst response.

摘要

脓毒性关节炎可使多种关节炎形式复杂化。本文描述了2例磷灰石相关性破坏性关节病（AADA）并发脓毒症的病例。在严重关节损伤的情况下诊断这种并发症很困难，因为AADA和脓毒症有某些共同特征——起初病程迅速进展、疼痛剧烈，X线片显示迅速出现破坏性改变，伴有明显的软骨丢失、骨质磨损，几乎没有骨赘或囊肿反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23b/1004298/dad187148812/annrheumd00446-0048-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23b/1004298/1535a05d806d/annrheumd00446-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23b/1004298/dad187148812/annrheumd00446-0048-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23b/1004298/1535a05d806d/annrheumd00446-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c23b/1004298/dad187148812/annrheumd00446-0048-b.jpg

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本文引用的文献

1
Apatite associated destructive arthritis.磷灰石相关性破坏性关节炎
Br J Rheumatol. 1984 May;23(2):84-91. doi: 10.1093/rheumatology/23.2.84.
2
Milwaukee Shoulder syndrome: eleven additional cases with involvement of the knee in seven (basic calcium phosphate crystal deposition disease).密尔沃基肩综合征：另外11例，其中7例累及膝关节（碱性磷酸钙晶体沉积病）
Semin Arthritis Rheum. 1984 Aug;14(1):36-44. doi: 10.1016/0049-0172(84)90007-6.
3
Bacterial (suppurative) arthritis in the adult.成人细菌性（化脓性）关节炎
J Bone Joint Surg Am. 1970 Dec;52(8):1595-602.
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A reappraisal of 'analgesic hip'.
Ann Rheum Dis. 1986 Apr;45(4):272-6. doi: 10.1136/ard.45.4.272.
5
Acute septic arthritis in chronic osteonecrosis of the hip.髋关节慢性骨坏死中的急性化脓性关节炎
J Rheumatol. 1988 Nov;15(11):1713-6.
6
Serratia marcescens - caused arthritis with negative and positive birefrengent crystals.
Arch Intern Med. 1976 Nov;136(11):1323-5.
7
Arthritis associated with apatite crystals.与磷灰石晶体相关的关节炎
Ann Intern Med. 1977 Oct;87(4):411-6. doi: 10.7326/0003-4819-87-4-411.