RESUMEN
A syndrome of hyperostosis of the thoracic wall, nonspecific signs of inflammatory disease, and palmar and plantar pustulosis is described in eight patients (Table 1). Seven had intersternocostoclavicular ossification, and one had chronic recurrent multifocal osteomyelitis. This complex of findings has been called "pustulotic arthro-osteitis". This report emphasizes the periosseous soft tissue inflammation and the unexplained subclavian and mediastinal vein thrombosis seen in two patients. Inflammatory periosseous and mediastinal lesions were seen on plain films in all eight patients and on computed tomographic (CT) scans in seven. Radiographs of the spine showed a spondyloarthropathy in three patients. This was characterized by ossification of the vertebral ligaments and sclerosis of the vertebral bodies. Awareness of the radiologic features of pustulotic arthro-osteitis is important because the clinical, biochemical and pathologic findings are often nonspecific and misleading.
Asunto(s)
Hiperostosis Esternocostoclavicular/complicaciones , Mediastinitis/complicaciones , Osteomielitis/complicaciones , Vena Subclavia , Trombosis/complicaciones , Adulto , Anciano , Femenino , Dermatosis del Pie/complicaciones , Dermatosis de la Mano/complicaciones , Humanos , Masculino , Persona de Mediana Edad , SíndromeRESUMEN
Twenty patients with longstanding polyarticular rheumatoid arthritis (including knee involvement) were selected for this study. The severity of the knee synovitis was assessed before and during treatment (with intra-articular corticosteroid injections) using clinical scores, sonography, and thermography. In all patients, the inflammation regressed during treatment. During follow-up, the quantity of synovial fluid, as measured sonographically 10 days after the start of therapy, correlated best with the clinical status. Maximal regression of synovial thickening was noted on delayed sonograms performed three months after treatment. Thermographic peak temperature showed good correlation with the clinical status, but the thermographic index was unreliable.
Asunto(s)
Artritis Reumatoide/diagnóstico , Articulación de la Rodilla , Termografía , Ultrasonografía , Corticoesteroides/administración & dosificación , Adulto , Anciano , Artritis Reumatoide/tratamiento farmacológico , Artritis Reumatoide/fisiopatología , Femenino , Estudios de Seguimiento , Humanos , Inyecciones Intraarticulares , Articulación de la Rodilla/patología , Articulación de la Rodilla/fisiopatología , Masculino , Persona de Mediana Edad , MovimientoRESUMEN
A 25-year-old woman with a congenital uterine arteriovenous malformation had a long history of repeated excessive vaginal bleeding. She was successfully treated with transarterial embolization. She had normal menstrual periods for 6 months and subsequently conceived. She was delivered of a normally grown baby at 35 weeks. To the best of our knowledge, this is the third pregnancy described after successful embolization of an arteriovenous malformation.
Asunto(s)
Malformaciones Arteriovenosas/terapia , Embolización Terapéutica , Útero/irrigación sanguínea , Adulto , Malformaciones Arteriovenosas/complicaciones , Femenino , Humanos , Embarazo , Hemorragia Uterina/etiologíaRESUMEN
Transient synovitis of the hip remains a common diagnostic problem for the clinician. The physical signs are not pathognomonic of the condition, and the classic technical examinations are of little help. Therefore, the authors retrospectively studied the value of hip arthrosonography in 46 children with clinical symptoms suggesting pathologic hip conditions. In 20 of the 21 patients with a final diagnosis of transient synovitis, articular effusion was detected on ultrasound (US). Conventional radiography showed an increased medial joint space in only eight of these patients. Increased echogenicity of the articular fluid was found in both transient synovitis and septic arthritis. The high sensitivity of US in detecting intraarticular fluid was demonstrated by cadaver studies.
Asunto(s)
Articulación de la Cadera/patología , Sinovitis/diagnóstico , Ultrasonografía , Adolescente , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Sinovitis/patología , Factores de TiempoRESUMEN
A case of congenital arteriovenous malformation of the uterus in a 25-year-old woman with a long-standing history of recurrent menometrorrhagia is reported. Radiological diagnosis was based on hysterographic, computed tomographic, and angiographic findings. Treatment was performed with percutaneous transcatheter embolization.