The Japanese Journal of Clinical Dialysis Vol.13 No.9(2-1)

Theme Amyloid-Related Bone and Joint Derangements -- Clinical Diagnosis and Treatment
Title Radiographic and CT findings of hemodialysis-related amyloid osteoarthropathy
Publish Date 1997/08
Author Nobuya Aso Department of Radiology, Nagasaki University School of Medicine
Author Masako Ito Department of Radiology, Nagasaki University School of Medicine
Author Masataka Uetani Department of Radiology, Nagasaki University School of Medicine
Author Kuniaki Hayashi Department of Radiology, Nagasaki University School of Medicine
[ Summary ] Hemodialysis-related amyloidosis leads to carpal-tunnel syndrome, osteoarthropathy in the synovial joints and destructive spondyloarthropathy.
On conventional radiography, soft tissue swelling, juxtaarticular osteoporosis and subchondral cystic lesions without significant joint space narrowing are characteristic findings of amyloid osteoarthropathy. CT may provide additional information about the extent and location of the lesion. In destructive spondyloarthropathy, characteristic radiographic findings include progressive narrowing of the disk space, end-plate erosion and subchondral sclerosis that may simulate infectious spondylitis.
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