Menkes C J, Laoussadi S, Auvert L, Charrier J
Service de Rhumatologie A, Hôpital Cochin, Paris.
Presse Med. 1987 Sep 12;16(29):1414-8.
A case of chronic, corticosteroid-responsive arthritis affecting particularly one ankle in a patient with type IV hyperlipoproteinaemia is reported. After gout or inflammatory rheumatism of another nature had been excluded, and following synovial fluid examination and synovial membrane biopsy, a diagnosis of type IV hyperlipoproteinaemia rheumatism was made. At electron microscopy, the synovial membrane showed numerous large spumous cells and a peculiar appearance of the capillary vessels.
报告了1例慢性、对皮质类固醇有反应的关节炎,该关节炎特别累及1例IV型高脂蛋白血症患者的一个踝关节。在排除痛风或其他性质的炎性风湿病后,经滑液检查和滑膜活检,诊断为IV型高脂蛋白血症性风湿病。电子显微镜检查显示,滑膜有大量大的泡沫细胞以及毛细血管的特殊外观。