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[Synovitis score: value of histopathological diagnostics in unclear arthritis. Case reports from rheumatological pathological practice].

Identifieur interne : 001387 ( Main/Merge ); précédent : 001386; suivant : 001388

[Synovitis score: value of histopathological diagnostics in unclear arthritis. Case reports from rheumatological pathological practice].

Auteurs : M. Jakobs [Allemagne] ; L. Morawietz ; H. Rothschenk ; T. Hopf ; S. Weiner ; H. Schausten ; M G Krukemeyer ; V. Krenn

Source :

RBID : pubmed:18000669

English descriptors

Abstract

Histopathological assessment of synovial biopsies has an established value. The value for inflammatory joint diseases without standardized rating mechanisms was, however, unknown until recently. The exemplary use of the synovitis score in four cases all including recurrent bruises of the knee joint portrays its value for diagnosis and therapy. Usage of the score includes assessing the enlargement of the lining layer, cellular density of synovial stroma and leucocyte infiltration by giving each a score of 0-3 points and adding them. Presence of high-grade synovitis (>or=4 points) in all cases displayed the reason for the joint bruises within a primarily inflammatory, rheumatoid circle. In this report we show the broad variety of uses for the synovitis score dealing with cases of Lyme arthritis, rheumatoid arthritis, seronegative monarthritis and HLA-B27-positive peripheral arthritis.

DOI: 10.1007/s00393-007-0232-y
PubMed: 18000669

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pubmed:18000669

Le document en format XML

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<country xml:lang="fr">Allemagne</country>
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<name sortKey="Hopf, T" sort="Hopf, T" uniqKey="Hopf T" first="T" last="Hopf">T. Hopf</name>
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<name sortKey="Weiner, S" sort="Weiner, S" uniqKey="Weiner S" first="S" last="Weiner">S. Weiner</name>
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<term>Adult</term>
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<term>Arthritis (pathology)</term>
<term>Arthritis (surgery)</term>
<term>Arthritis, Rheumatoid (pathology)</term>
<term>Arthritis, Rheumatoid (surgery)</term>
<term>Cartilage, Articular (pathology)</term>
<term>Chronic Disease</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Knee Joint (surgery)</term>
<term>Male</term>
<term>Synovial Membrane (pathology)</term>
<term>Synovial Membrane (surgery)</term>
<term>Synovitis (pathology)</term>
<term>Synovitis (surgery)</term>
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<term>Arthritis</term>
<term>Arthritis, Rheumatoid</term>
<term>Cartilage, Articular</term>
<term>Synovial Membrane</term>
<term>Synovitis</term>
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<term>Arthritis</term>
<term>Arthritis, Rheumatoid</term>
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<div type="abstract" xml:lang="en">Histopathological assessment of synovial biopsies has an established value. The value for inflammatory joint diseases without standardized rating mechanisms was, however, unknown until recently. The exemplary use of the synovitis score in four cases all including recurrent bruises of the knee joint portrays its value for diagnosis and therapy. Usage of the score includes assessing the enlargement of the lining layer, cellular density of synovial stroma and leucocyte infiltration by giving each a score of 0-3 points and adding them. Presence of high-grade synovitis (>or=4 points) in all cases displayed the reason for the joint bruises within a primarily inflammatory, rheumatoid circle. In this report we show the broad variety of uses for the synovitis score dealing with cases of Lyme arthritis, rheumatoid arthritis, seronegative monarthritis and HLA-B27-positive peripheral arthritis.</div>
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