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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 60 (1982), S. 1319-1328 
    ISSN: 1432-1440
    Keywords: Eosinophilic Fasciitis ; Shulman Syndrome ; Eosinophile Fasziitis ; Shulman-Syndrom
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Sklerodermieähnliche Hautindurationen ohne Organmanifestationen, Gelenkskontrakturen, Bluteosinophilie und ein entzündliches Infiltrat der Faszie zwischen Subkutis und Muskulatur gelten als die Charakteristika der eosinophilen Fasziitis (EF). Wir berichten über einen 30jährigen Diabetiker mit dem von Shulman 1974 definierten Syndrom. Eine Kortikosteroidtherapie führte zur Remission der Krankheitssymptome, jedoch zeigte eine Rebiopsie, daß die Therapie keinen Einfluß auf den pathomorphologischen Befund hatte. Anhand einer Literaturübersicht unter Berücksichtigung von 118 Fällen werden die Gemeinsamkeiten und Unterschiede von EF und der systemischen Sklerodermie diskutiert.
    Notes: Summary Scleroderma like skin indurations without internal organ involvement, joint contractures, eosinophilia, and inflammatory infiltration of the fascia between subcutis and muscle are considered as characteristic features of eosinophilic fasciitis (EF). We report a further case of a 30 years old diabetic confirming to the syndrome defined by Shulman 1974. Corticosteroid therapy resulted in remission of disease symptoms, however a rebiopsy revealed no effect of therapy on histopathologic changes. A critical review of 118 cases in the literature is presented to explore the relationship of EF to scleroderma.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 61 (1983), S. 1199-1207 
    ISSN: 1432-1440
    Keywords: Hemochromatosis arthropathy ; Nosology ; Tissue typing ; Assessment of relatives
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In 22 of 35 patients (63%) with idiopathic hemochromatosis arthropathy could be demonstrated. In 20 patients the metacarpophalangeal joints (mainly II and III) with preference of the right hand were affected. Chondrocalcinosis of the wrist and knee was found both in two patients with metacarpophalangeal joint disease and in two patients without metacarpophalangeal disease. Further joints affected were the wrists (14), the other finger joints (11), and the knees (6). The dominant clinical complaint was pain in motion. Swelling and redness were rare findings only in case of acute exacerbations. The radiologic changes in the metacarpophalangeal joints were narrowing of the joint spaces, subchondral cysts, sclerosis of subchondral bone of metacarpal heads, and marginal osteophytic appositions at the joints. In one third of the patients arthropathy was evident before the diagnosis of idiopathic hemochromatosis was made. Histocompatibility testing confirmed that HLA-A3 is significantly more frequent in patients with idiopathic hemochromatosis than in normal persons. A statistically significant difference concerning HLA-phenotypes between patients with arthropathy and patients without arthropathy could not be detected. There was no case of arthropathy when 98 relatives of the patients were examined. However, idiopathic hemochromatosis was first detected in ten persons of this group.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 62 (1984), S. 768-772 
    ISSN: 1432-1440
    Keywords: Fibronectin ; Synovial fluid ; Inflammatory activity ; Rheumatoid variants
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A circulating high-molecular-weight glycoprotein called fibronectin plays a part in cell adhesion and migration before phagocytosis and in morphology, differentiation, and metabolism in inflammatory synovial effusions of patients with rheumatic diseases. A technique of nephelometric immunoassay, based on the measurement of an antigen-antibody reaction, was applied to the analysis of fibronectin concentrations in synovial fluids from 20 patients with rheumatoid arthritis (RA) and other diseases (non-RA). RA synovial fluids have a significantly higher concentration than the specimens obtained from Yersinia arthritis patients (n=12). The mean concentration of other synovial fluids, from 12 patients with osteoarthritis of the knees, did not significantly differ from the synovial fluids of control values obtained from patients who underwent meniscectomy. There was a considerably negative correlation between fibronectin levels and overall indices of inflammatory activity, such as Ritchie articular indices or a whole number of painful rheumatoid arthritis joints. However, a particularly distinct correlation was obtained when raised fibronectin levels were compared with the inflammatory activity of the knee joint, from which the specimen was aspirated. Thus, these findings suggest that the measurements of fibronectin in synovial fluid may be of some differential-diagnostic value in rheumatoid variants, but may only serve as an indicator of inflammatory activity if the joint, from which the specimen is obtained, is taken into account.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Rheumatology international 2 (1982), S. 183-187 
    ISSN: 1437-160X
    Keywords: Isolated rheumatoid nodules ; HLA-typing
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Four female patients with rheumatoid nodules are described who had no other clinical manifestations of rheumatoid disease. Only one of the patients was seropositive for the rheumatoid factor and HLA-DR4. Nosologic aspects of such isolated rheumatoid nodules are discussed.
    Type of Medium: Electronic Resource
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