强直性脊柱炎足滑膜切除术酸性粘多糖http://www.oowoo.net2005年7月19日9:35JRheumatol
期刊名称：JRheumatol英文题目：Tamalefoot:depositofacidmucopolysaccharidesinthesynovialsheathsofextensortendonsofthefoot,resemblingtendinitis,inapatientwithjuvenileankylosingspondylitis.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-BalderasFJ、Fernandez-DiezJ、FragaA英文摘要：Wedescribeaclinicalcaseofjuvenileankylosingspondylitis（AS）thatdeveloped"pseudo-chronictendinitis"ofthefoot.A20-year-oldmalepatienthadHLA-B27positivejuvenileASsincehewas13yearsold.Attheageof19hepresentedchronicpaininthedorsumoftheleftfoot.Examinationdisclosedanincreasedvolumeofthetarsaldorsum,withrubberyconsistency,withnoevidenceofvenousorlymphaticinsufficiency,godette,orinflammationinlaboratorytests,givingthefoottheappearanceofatamale.Synovectomyofthefootextensortendonsheathwasfollowedbyreliefofpainandswelling.Histopathologicalstudyshowedadepositofacidmucopolysaccharides（MPS）withnoinflammatorycellinfiltrate.TamalefootinjuvenileASmaydevelopasaconsequenceofacidMPSdepositwithnoevidenceofsynovialinflammation.Thegoodresponsetosynovectomysuggeststhisisthepreferredtreatmentfortamalefoot.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：ankylosingspondylitisfootSynovectomyacidmucopolysaccharides中文关键词：强直性脊柱炎足滑膜切除术酸性粘多糖
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