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  • 1
    ISSN: 1434-9949
    Keywords: Polyarteritis Nodosa ; Ankylosing Spondylitis ; SPECT Scan ; HLA-B27
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A35-year-old man, with positive HBV and HCV markers, showed clinical and histopathological features of polyarteritis nodosa (PAN), in the course of HLA-B27 positive ankylosing spondylitis (AS). The possible occurrence of both diseases in genetically susceptible subjects is discussed. Although the role of HBV surface antigen in the pathogenesis of PAN is well established, there is still a large proportion of PAN patients with no evidence of HBV infection. In the present case, the coexistence of HCV infection led us to speculate about a possible role of this virus in the pathogenesis of PAN. In our case we were able to verify the sensitivity of single photon emission computed tomography (SPECT) in the diagnosis and the clinical evaluation of the ischaemic cerebral lesions.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1434-9949
    Keywords: Acromioclavicular joint ; Rheumatoid arthritis ; Rotator cuff tear
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report two cases of a full-thickness rotator cuff tear followed by acromioclavicular cyst formation in patients with longstanding erosive polyarticular rheumatoid arthritis. One of the consequences of a ratator cuff tear is articular instability with upward migration of the humeral head. The ensuing chronic friction against the undersurface of the acromio-clavicular joint caused by arm movements can lead to a non-inflammatory effusion of the acromioclavicular joint with cyst formation. Clinical and ultrasonographic features and a pathogenetic hypothesis are discussed.
    Type of Medium: Electronic Resource
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