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[反射性交感神经营养不良中的关节。关节液、滑膜、软骨]

[The joint in algodystrophy. Joint fluid, synovium, cartilage].

作者信息

Renier J C, Arlet J, Bregeon C, Basle M, Seret P, Acquaviva P, Schiano A, Serratrice G, Amor B, May V, Delcambre B, D'Eshoughes J R, Vincent G, Pawlotsky Y

出版信息

Rev Rhum Mal Osteoartic. 1983 Apr;50(4):255-60.

PMID:6879092
Abstract

The joint fluid in cases of algodystrophy was studied in 17 samples. It is poor in cells (275/mm3 with a mean of 15% polymorphs). The protein level was studied 4 times and was equal to or greater than 40 g/l, i.e. double the normal value. A detailed histological examination of 33 biopsies of synovial tissue reveals a typical appearance of the synovium in algodystrophy, defined by 6 features, 2 negative and 4 positive: absence of hyperplasia of the synovial lining, absence of any real inflammatory cell infiltrate, presence of a marked hypervascularity, an oedema of the chorion, especially marked in the first weeks of the disease, hyperplasia of the walls of some arterioles, and fibrosis of the chorion which becomes more marked as the disease progresses and which is predominantly in the deeper layers. The authors recall that articular cartilage can show superficial alterations of structure with areas of fibrosis.

摘要

对17份反射性交感神经营养不良病例的关节液样本进行了研究。其细胞含量较低(每立方毫米275个,多形核细胞平均占15%)。对蛋白质水平进行了4次检测,结果等于或高于40克/升,即正常值的两倍。对33份滑膜组织活检样本进行的详细组织学检查显示,反射性交感神经营养不良的滑膜呈现出典型外观,由6个特征界定,其中2个为阴性,4个为阳性:滑膜衬里无增生,无任何真正的炎性细胞浸润,存在明显的血管增生,绒毛膜水肿,在疾病最初几周尤为明显,一些小动脉壁增生,以及绒毛膜纤维化,随着疾病进展其变得更加明显,且主要位于较深层。作者提醒,关节软骨可出现结构的浅表改变及纤维化区域。

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