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肾移植后的关节积液

Joint effusions after kidney transplantation.

作者信息

MacFarlane J D, Filo R S, Brandt K D

出版信息

Arthritis Rheum. 1979 Feb;22(2):164-9. doi: 10.1002/art.1780220209.

DOI:10.1002/art.1780220209
PMID:369567
Abstract

Thirty-seven consecutive renal transplant recipients were studied prospectively for joint disease. Six developed arthralgias while corticosteroid doses were being lowered. Eleven patients (30%) developed knee effusions at a mean interval of 10 days following transplantation. Synovial fluids were colorless or very pale yellow, with few leukocytes (mean, 28/mm3). These benign transudative effusions did not correlate with immunologic abnormalities, transplant rejection, crystal deposition, or avascular necrosis and may have been due to high dose oral corticosteroid therapy.

摘要

对37例连续性肾移植受者进行了关节疾病的前瞻性研究。6例在降低皮质类固醇剂量时出现关节痛。11例患者(30%)在移植后平均10天出现膝关节积液。滑液无色或呈极淡黄色,白细胞很少(平均28/mm³)。这些良性漏出性积液与免疫异常、移植排斥、晶体沉积或无血管性坏死无关,可能是由于高剂量口服皮质类固醇治疗所致。

相似文献

1
Joint effusions after kidney transplantation.肾移植后的关节积液
Arthritis Rheum. 1979 Feb;22(2):164-9. doi: 10.1002/art.1780220209.
2
High-dose corticosteroid therapy: association with noninflammatory synovial effusions.大剂量皮质类固醇疗法:与非炎性滑膜积液的关联。
Arthritis Rheum. 1983 Oct;26(10):1283-7. doi: 10.1002/art.1780261018.
3
Letter: Acute arthralgia following high-dose intravenous methylprednisolone therapy.信件:大剂量静脉注射甲泼尼龙治疗后出现的急性关节痛。
Lancet. 1974 Jul 27;2(7874):229. doi: 10.1016/s0140-6736(74)91539-6.
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Lancet. 1974 Oct 26;2(7887):1014. doi: 10.1016/s0140-6736(74)92109-6.
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Letter: Acute arthralgia after high-dose intravenous methylprednisolone.信件:大剂量静脉注射甲泼尼龙后出现急性关节痛。
Lancet. 1974 Nov 30;2(7892):1333. doi: 10.1016/s0140-6736(74)90209-8.
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Avascular necrosis following renal transplantation. Experience with 449 allografts with and without high-dose steroid therapy.肾移植后的缺血性坏死。449例同种异体移植肾使用和未使用大剂量类固醇治疗的经验。
Urology. 1978 Mar;11(3):225-9. doi: 10.1016/0090-4295(78)90120-6.
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Musculoskeletal disorders after renal homotransplantation. A clinical and laboratory analysis of 60 cases.同种异体肾移植后的肌肉骨骼疾病。60例临床与实验室分析。
Ann Intern Med. 1967 Jan;66(1):87-104. doi: 10.7326/0003-4819-66-1-87.
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J Rheumatol. 1986 Dec;13(6):1063-5.
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MR imaging of the knee: can changes in the intracapsular fat pads be used as a sign of synovial proliferation in the presence of an effusion?膝关节的磁共振成像:在存在关节积液的情况下,关节囊内脂肪垫的变化能否用作滑膜增生的征象?
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Recurrent effusion of the knee joint. A follow-up study of 41 cases.
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