ISSN:
1432-1084
Keywords:
Amyloid arthropathy
;
Spondyloarthropathy
;
Haemodialysis
;
Hyperparathyroidism
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Radiological features of cystic lesions due to beta-2-microglobulin-related amyloidosis have been studied in 88 patients recieving haemodialysis for more than 4 years. Amyloid arthropathy was confirmed by demonstration of amyloid-beta-2-microglobulin deposition on different substrates. Plain radiographs of shoulder, spine, pelvis, hands and knees revealed cystic lesions in 31 patients (35.2%), the distribution being: 71% shoulder, 56.7% carpal bones, 25.8% pelvis, 16.5% femur and 13.3% knees. Discitis was found in 34 patients (38.6%). The occurence of geodes was frequent in patients suffering from amyloid arthropathy (63% vs. 23%, P = 0.0001). No significant differences were found in the frequency of discitis or erosive arthropathy in the hands of both groups. The former was related to age and the latter to secondary hyperparathyroidism. We stress the radiographic appearance and the high incidence of these lesions in patients on long-term haemodialysis.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00175432
Permalink