Prost A, Tanguy G, Audran M, Cottin S, Calvez A, Elie J P
Rev Rhum Mal Osteoartic. 1982 Apr;49(5):365-9.
Three cases of unilateral atloido-axis arthropathy are described in women aged 39 to 69 years. The initial diagnosis of arthritis made in view of the severity of the clinical (severe pain and stiffness) and radiological (marked chondrolysis, subchondral erosions), manifestations was contested in the absence of any laboratory abnormality of an inflammatory nature, as well as any bacterial, inflammatory rheumatic or metabolic cause. The final diagnosis made at the time of hospitalisation after 8 to 9 month progression of the disease was osteoarthritis, no subject to any doubt on the basis of the subsequent course. C2-C3 block present in 2 cases was a local factor of joint wear-and-tear. Other severe manifestations of osteoarthritis were seen in 2 patients. By analogy with certain forms of destructive osteoarthritis of the fingers, the term erosive osteoarthritis of the atloido-axis joint is suggested to describe this joint lesion.
本文描述了3例年龄在39至69岁之间的女性单侧寰枢关节病。鉴于临床症状(严重疼痛和僵硬)和放射学表现(明显的软骨溶解、软骨下侵蚀)严重,最初诊断为关节炎,但由于缺乏任何炎症性质的实验室异常以及任何细菌、炎性风湿或代谢原因,该诊断存在争议。在疾病进展8至9个月后住院时做出的最终诊断为骨关节炎,根据后续病程,这一诊断毫无疑问。2例患者存在C2-C3阻滞,这是关节磨损的局部因素。另外2例患者出现了骨关节炎的其他严重表现。类比手指某些形式的破坏性骨关节炎,建议用寰枢关节侵蚀性骨关节炎这一术语来描述这种关节病变。