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[β2-淀粉样蛋白沉积病在关节周围软骨下 geodes 病变鉴别诊断中的应用]

[The disease of beta 2-amyloid deposition in the differential diagnosis of juxta-articular subchondral geode lesions].

作者信息

Marri C, Romagnoli C, Solano G, Caldeo A, Emiliani G

机构信息

Servizio di Radiodiagnostica I, Ospedale S. Maria delle Croci, Ravenna.

出版信息

Radiol Med. 1993 Jan-Feb;85(1-2):17-22.

PMID:8480044
Abstract

Beta-2 amyloidosis deposition is a new type of amyloidosis recently observed in long-term hemodialysis patients. One of the major osteoarticular complications of this disease is the appearance of subchondral bone cysts. In this paper the radiologic features of such radiolucencies are described and the criteria are outlined of the differential diagnosis from the geodes found in other arthropathies or para-physiologic conditions. The importance of the status of the joint space is stressed: on the basis of its patterns, arthropathies may be grouped as follows: inhomogeneous space narrowing in degenerative arthritis; homogeneous space narrowing in inflammatory arthritis; normal or nearly normal joint space if there is no/not-prevalent involvement of articular cartilage.

摘要

β-2淀粉样变性沉积是一种最近在长期血液透析患者中观察到的新型淀粉样变性。这种疾病的主要骨关节并发症之一是软骨下骨囊肿的出现。本文描述了此类透光区的放射学特征,并概述了与其他关节病或准生理状况中发现的关节内小囊肿进行鉴别诊断的标准。强调了关节间隙状态的重要性:根据其模式,关节病可分为以下几类:退行性关节炎中关节间隙不均匀变窄;炎症性关节炎中关节间隙均匀变窄;如果关节软骨无受累或受累不普遍,则关节间隙正常或接近正常。

相似文献

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Bone cysts and haemodialysis-related amyloidosis.骨囊肿与血液透析相关淀粉样变性
Clin Radiol. 1989 May;40(3):277-81. doi: 10.1016/s0009-9260(89)80201-6.

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