Radiology findings of amyloid arthropathy in long-term haemodialysis

Autor: C. Ríos Camacho, Abel Valenzuela Jr., A. Talegón Meléndez, Ma. González Guirao, J. Mateos Aguilar, Lizette Gil, A. Palma Alvarez, S. Gomez Benitez
Rok vydání: 1992
Předmět:
Zdroj: European Radiology. 2
ISSN: 1432-1084
0938-7994
DOI: 10.1007/bf00175432
Popis: 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.
Databáze: OpenAIRE