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急性颈部症状模拟脑膜炎所揭示的关节软骨钙质沉着症(作者译)

[Articular chondrocalcinosis revealed by acute cervical symptoms simulating meningitis (author's transl)].

作者信息

Le Goff P, Pennec Y, Youinou P

出版信息

Sem Hop. 1980 Oct 15;56(37-38):1515-8.

PMID:6254173
Abstract

Four cases of acute cervical pain with high fever and important stiffness of the cervical spine, leading to study the cerebrospinal fluid in emergency, are reported. All cases had elevated erythrocyte sedimentation rate. Recovery was obtained in all cases in a few days without treatment. The cerebrospinal fluid was normal in the three cases studied. In three patients the roentgenograms demonstrated calcified cervical cartilages, mainly in the atlas-axis joint, and osteo arthritis-like arthropathies. This syndrome, simulating meningitis revealed the calcium pyrophosphatecrystal deposition disease in the four cases. Crystal-induced arthritis of the cervical spine is suggested but not demonstrated.

摘要

报告了4例伴有高热和颈椎明显僵硬的急性颈部疼痛病例,这些病例促使在急诊时对脑脊液进行了研究。所有病例的红细胞沉降率均升高。所有病例在未接受治疗的情况下数天内均康复。所研究的3例病例脑脊液正常。3例患者的X线片显示颈椎软骨钙化,主要在寰枢关节,以及类似骨关节炎的关节病。这种类似脑膜炎的综合征在4例病例中显示为焦磷酸钙晶体沉积病。提示存在颈椎晶体诱导性关节炎,但未得到证实。

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