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 Rheumatoljournal_title
Clinical rheumatologyauthors
Leonard PA,Clegg DO,Lee RGdoi
10.1007/BF02032296subject
Has Abstractpub_date
1985-06-01 00:00:00pages
212-7issue
2eissn
0770-3198issn
1434-9949journal_volume
4pub_type
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