Cameron E W, Resnik C S, Light P D, Sun C C
Department of Radiology, University of Maryland Medical System, Baltimore, USA.
Skeletal Radiol. 1997 Jul;26(7):428-30. doi: 10.1007/s002560050260.
Amyloid deposition is an important cause of morbidity in long-term hemodialysis patients, but it has rarely been reported in the sternoclavicular joint, where the clinical picture may be consistent with an infection. The imaging features of one case are discussed. Biopsy with specific staining for the beta-2 microglobulin component of amyloid should be considered in the work up of a lesion of this joint in this clinical setting.
淀粉样蛋白沉积是长期血液透析患者发病的重要原因,但在胸锁关节中很少有报道,其临床表现可能与感染一致。本文讨论了一例的影像学特征。在这种临床情况下,对该关节病变进行检查时,应考虑对淀粉样蛋白的β-2微球蛋白成分进行特异性染色的活检。