Erosive arthritis in a patient with amyloid arthropathy.

Abstract:

:Amyloid arthropathy is said to be distinguished roentgenographically from rheumatoid arthritis by the absence of joint space narrowing and the absence of articular erosions. We present a patient with multiple myeloma with swelling, stiffness and firm synovial thickening of the wrists, metacarpophalangeal joints and proximal interphalangeal joints whose hand radiographs showed articular erosions of the carpal joints and ulnar styloid and joint space narrowing of the proximal interphalangeal joints and metacarpophalangeal joints. Synovial biopsy of the left wrist showed amyloid deposits with no inflammation. Previous reports of X-ray changes in amyloid arthropathy note preservation of joint spaces or widening. Erosions when noted are of non-articular bone rather than of the articular surface. This is the first case report of erosive articular disease in amyloid arthropathy.

journal_name

Clin Rheumatol

journal_title

Clinical rheumatology

authors

Leonard PA,Clegg DO,Lee RG

doi

10.1007/BF02032296

subject

Has Abstract

pub_date

1985-06-01 00:00:00

pages

212-7

issue

2

eissn

0770-3198

issn

1434-9949

journal_volume

4

pub_type

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