强直性脊柱炎足滑膜切除术酸性粘多糖
期刊名称:J Rheumatol
英文题目:Tamale foot: deposit of acid mucopolysaccharides in the synovial sheaths of extensor tendons of the foot, resembling tendinitis, in a patient with juvenile ankylosing spondylitis.
中文题目:在幼态强直性脊柱炎病人中的Tamale足:足部伸肌腱腱鞘中酸性粘多糖沉积,类肌腱炎表现
文章来源:2000-7 ;27卷;1788-19页
作者:Jimenez-Balderas FJ 、Fernandez-Diez J、Fraga A
英文摘要:
We describe a clinical case of juvenile ankylosing spondylitis (AS) that developed "pseudo-chronic tendinitis" of the foot. A 20-year-old male patient had HLA-B27 positive juvenile AS since he was 13 years old. At the age of 19 he presented chronic pain in the dorsum of the left foot. Examination disclosed an increased volume of the tarsal dorsum, with rubbery consistency, with no evidence of venous or lymphatic insufficiency, godette, or inflammation in laboratory tests, giving the foot the appearance of a tamale. Synovectomy of the foot extensor tendon sheath was followed by relief of pain and swelling. Histopathological study showed a deposit of acid mucopolysaccharides (MPS) with no inflammatory cell infiltrate. Tamale foot in juvenile AS may develop as a consequence of acid MPS deposit with no evidence of synovial inflammation. The good response to synovectomy suggests this is the preferred treatment for tamale foot.
中文摘要:
我们描述了一例发生足部“假慢性肌腱炎”的早期强直性脊柱炎病历。一个20岁男性病人HLA-B27阳性,自13岁起患早期AS。在19岁是表现出左足背慢性疼痛。检查发现跗骨背体积增大,橡皮肿,而没有静脉或淋巴异常或炎症的试验室证据。病变是左足成Tamale样。足部伸肌腱腱鞘滑膜切除术后疼痛和肿胀减轻。组织病理学研究表明有年非炎症细胞侵润性酸性粘多糖(MPS)沉积。早期AS的Tamale足是酸性粘多糖沉积的结果,而非滑膜炎症。滑膜切除术的良好效果提示手术是Tamale足的首选治疗方法。
英文关键词:ankylosing spondylitisfootSynovectomyacid mucopolysaccharides
中文关键词:强直性脊柱炎足滑膜切除术酸性粘多糖
