Hand and wrist arthropathies of hemochromatosis and calcium pyrophosphate deposition disease: distinct radiographic features
| Autor: | C S Resnik, Jose Guerra, V C Vint, rd T C Adamson, Michael H. Weisman, D Resnick |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
Adult
Male Wrist Joint musculoskeletal diseases medicine.medical_specialty Radiography Wrist Calcium Pyrophosphate Diagnosis Differential Metacarpophalangeal Joint chemistry.chemical_compound Calcinosis Calcium Metabolism Disorders Arthropathy Humans Medicine Radiology Nuclear Medicine and imaging Hemochromatosis Aged business.industry Calcium pyrophosphate Metacarpophalangeal joint Middle Aged Hand medicine.disease Diphosphates Lunate medicine.anatomical_structure chemistry Female Radiology Joint Diseases business |
| Zdroj: | Radiology. 147:377-381 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.147.2.6300958 |
| Popis: | Radiographic features of hand and wrist involvement in 26 patients with hemochromatosis and in 26 patients with idiopathic calcium pyrophosphate dihydrate (CPPD) crystal deposition disease were compared. Two radiologists independently examined the radiographs without knowledge of the specific group to which the patient belonged. The results of this study clearly establish that structural joint diseases in the two disorders are not identical. Characteristic findings allow the radiologist to favor one diagnosis over the other. These radiographic differences indicate that the arthropathy of hemochromatosis is related to factors additional to the presence of CPPD crystals, specifically, the more prevalent narrowing of the metacarpophalangeal joint spaces, including those in the fourth and fifth digits, peculiar hook-like osteophytes on the radial aspect of the metacarpal heads, and less prevalent separation of the scaphoid and the lunate. |
| Databáze: | OpenAIRE |
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