Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.

The clinical picture of 15 patients (10 male, five female) with amyloid arthropathy secondary to chronic renal failure treated with haemodialysis has been studied. The average period of haemodialysis was 10.8 years. Joint symptoms appeared between three and 13 years after starting haemodialysis. No...

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Autores: Muñoz Gómez, José, Gómez-Pérez, R., Llopart-Buisán, E., Solé Arqués, Manuel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:1987
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/22458
Acceso en línea:https://hdl.handle.net/2445/22458
Access Level:acceso abierto
Palabra clave:Malalties de les articulacions
Insuficiència renal crònica
Hemodiàlisi
Estudi de casos
Joint diseases
Chronic renal failure
Hemodialysis
Case studies
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spelling Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.Muñoz Gómez, JoséGómez-Pérez, R.Llopart-Buisán, E.Solé Arqués, ManuelMalalties de les articulacionsInsuficiència renal crònicaHemodiàlisiEstudi de casosJoint diseasesChronic renal failureHemodialysisCase studiesThe clinical picture of 15 patients (10 male, five female) with amyloid arthropathy secondary to chronic renal failure treated with haemodialysis has been studied. The average period of haemodialysis was 10.8 years. Joint symptoms appeared between three and 13 years after starting haemodialysis. No patient had renal amyloidosis. Early symptoms were varied and often overlapped: knee swelling (seven patients), painful and stiff shoulders (seven), and carpal tunnel syndrome (six) were the most prominent. Follow up showed extension to other joints. Joint effusions were generally of the non-inflammatory type. Radiologically, geodes and erosions of variable sizes were seen in the affected joints, which can develop into a destructive arthropathy. Amyloid was found in abdominal fat in three of the 12 patients on whom a needle aspiration was performed. Four of 12 patients showed changes compatible with amyloid infiltration in the echocardiogram. One patient had amyloid in the gastric muscular layer, another in the colon mucus, and two of four in rectal biopsy specimens. Amyloid deposits showed the presence of beta 2 microglobulin in 10 patients. The clinical and radiological picture was similar to the amyloid arthropathy associated with multiple myeloma. These patients can develop systemic amyloidosis.BMJ Group201220121987info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion7 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/22458Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció digital del document publicat a: http://dx.doi.org/10.1136/ard.46.8.573Annals of the Rheumatic Diseases, 1987, vol. 46, núm. 8, p. 573-579http://dx.doi.org/10.1136/ard.46.8.573(c) BMJ Publishing Group Ltd, 1987info:eu-repo/semantics/openAccessoai:recercat.cat:2445/224582026-05-29T05:05:01Z
dc.title.none.fl_str_mv Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.
title Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.
spellingShingle Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.
Muñoz Gómez, José
Malalties de les articulacions
Insuficiència renal crònica
Hemodiàlisi
Estudi de casos
Joint diseases
Chronic renal failure
Hemodialysis
Case studies
title_short Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.
title_full Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.
title_fullStr Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.
title_full_unstemmed Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.
title_sort Clinical picture of the amyloid arthropathy in patients with chronic renal failure maintained on haemodialysis using cellulose membranes.
dc.creator.none.fl_str_mv Muñoz Gómez, José
Gómez-Pérez, R.
Llopart-Buisán, E.
Solé Arqués, Manuel
author Muñoz Gómez, José
author_facet Muñoz Gómez, José
Gómez-Pérez, R.
Llopart-Buisán, E.
Solé Arqués, Manuel
author_role author
author2 Gómez-Pérez, R.
Llopart-Buisán, E.
Solé Arqués, Manuel
author2_role author
author
author
dc.subject.none.fl_str_mv Malalties de les articulacions
Insuficiència renal crònica
Hemodiàlisi
Estudi de casos
Joint diseases
Chronic renal failure
Hemodialysis
Case studies
topic Malalties de les articulacions
Insuficiència renal crònica
Hemodiàlisi
Estudi de casos
Joint diseases
Chronic renal failure
Hemodialysis
Case studies
description The clinical picture of 15 patients (10 male, five female) with amyloid arthropathy secondary to chronic renal failure treated with haemodialysis has been studied. The average period of haemodialysis was 10.8 years. Joint symptoms appeared between three and 13 years after starting haemodialysis. No patient had renal amyloidosis. Early symptoms were varied and often overlapped: knee swelling (seven patients), painful and stiff shoulders (seven), and carpal tunnel syndrome (six) were the most prominent. Follow up showed extension to other joints. Joint effusions were generally of the non-inflammatory type. Radiologically, geodes and erosions of variable sizes were seen in the affected joints, which can develop into a destructive arthropathy. Amyloid was found in abdominal fat in three of the 12 patients on whom a needle aspiration was performed. Four of 12 patients showed changes compatible with amyloid infiltration in the echocardiogram. One patient had amyloid in the gastric muscular layer, another in the colon mucus, and two of four in rectal biopsy specimens. Amyloid deposits showed the presence of beta 2 microglobulin in 10 patients. The clinical and radiological picture was similar to the amyloid arthropathy associated with multiple myeloma. These patients can develop systemic amyloidosis.
publishDate 1987
dc.date.none.fl_str_mv 1987
2012
2012
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/22458
url https://hdl.handle.net/2445/22458
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció digital del document publicat a: http://dx.doi.org/10.1136/ard.46.8.573
Annals of the Rheumatic Diseases, 1987, vol. 46, núm. 8, p. 573-579
http://dx.doi.org/10.1136/ard.46.8.573
dc.rights.none.fl_str_mv (c) BMJ Publishing Group Ltd, 1987
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) BMJ Publishing Group Ltd, 1987
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 7 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMJ Group
publisher.none.fl_str_mv BMJ Group
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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