HISTOLOGICAL APPEARANCE OF THE SYNOVIUM IN EARLY RHEUMATOID-ARTHRITIS

被引:37
作者
SCHUMACHER, HR
BAUTISTA, BB
KRAUSER, RE
MATHUR, AK
GALL, EP
机构
[1] UNIV PENN,SCH MED,DIV RHEUMATOL,PHILADELPHIA,PA 19104
[2] PAOLI MEM HOSP,PAOLI,PA
[3] MON VALLEY HOSP,MONONGAHELA,PA
[4] UNIV ARIZONA,CTR HLTH SCI,DIV RHEUMATOL ALLERGY & IMMUNOL,TUCSON,AZ
关键词
SYNOVIAL MEMBRANE; SYNOVIAL FLUID; MICROVASCULATURE; INFLAMMATION;
D O I
10.1016/0049-0172(94)90079-5
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report reviews and discusses studies on the synovial fluid and biopsy specimens of synovial membrane obtained during the first 6 weeks of synovitis that evolved into rheumatoid arthritis (RA). Five previously unreported cases are described. Early changes in the microvasculature and synovial lining seem to antedate the classical chronic inflammation of established RA. Further characterization in the joint tissues in very early RA offers opportunities for identification of exogenous triggers and may allow more appropriate targeting of early therapy to potentially reversible aspects of pathogenesis. © 1994.
引用
收藏
页码:3 / 10
页数:8
相关论文
共 23 条
[1]   THE AMERICAN-RHEUMATISM-ASSOCIATION 1987 REVISED CRITERIA FOR THE CLASSIFICATION OF RHEUMATOID-ARTHRITIS [J].
ARNETT, FC ;
EDWORTHY, SM ;
BLOCH, DA ;
MCSHANE, DJ ;
FRIES, JF ;
COOPER, NS ;
HEALEY, LA ;
KAPLAN, SR ;
LIANG, MH ;
LUTHRA, HS ;
MEDSGER, TA ;
MITCHELL, DM ;
NEUSTADT, DH ;
PINALS, RS ;
SCHALLER, JG ;
SHARP, JT ;
WILDER, RL ;
HUNDER, GG .
ARTHRITIS AND RHEUMATISM, 1988, 31 (03) :315-324
[2]   EFFECT OF MEDICATION ON SYNOVIAL-FLUID LEUKOCYTE DIFFERENTIALS IN PATIENTS WITH RHEUMATOID-ARTHRITIS [J].
BAHREMAND, M ;
SCHUMACHER, HR .
ARTHRITIS AND RHEUMATISM, 1991, 34 (09) :1173-1176
[3]  
EMERY P, 1993, ARTHRITIS RHEUM, V36, pS57
[4]   ACUTE MONOARTICULAR ARTHRITIS CAUSED BY HERPES-SIMPLEX VIRUS AND CYTOMEGALO-VIRUS [J].
FRIEDMAN, HM ;
PINCUS, T ;
GIBILISCO, P ;
BAKER, D ;
GLAZER, JP ;
PLOTKIN, SA ;
SCHUMACHER, HR .
AMERICAN JOURNAL OF MEDICINE, 1980, 69 (02) :241-247
[5]   INHIBITION OF HUMAN-ENDOTHELIAL CELL-PROLIFERATION BY GOLD COMPOUNDS [J].
MATSUBARA, T ;
ZIFF, M .
JOURNAL OF CLINICAL INVESTIGATION, 1987, 79 (05) :1440-1446
[6]   EFFECT OF INDOMETHACIN ON SWELLING, LYMPHOCYTE INFLUX, AND CARTILAGE PROTEOGLYCAN DEPLETION IN EXPERIMENTAL ARTHRITIS [J].
PETTIPHER, ER ;
HENDERSON, B ;
EDWARDS, JCW ;
HIGGS, GA .
ANNALS OF THE RHEUMATIC DISEASES, 1989, 48 (08) :623-627
[7]   MOLECULAR EVIDENCE FOR THE PRESENCE OF CHLAMYDIA IN THE SYNOVIUM OF PATIENTS WITH REITERS-SYNDROME [J].
RAHMAN, MU ;
CHEEMA, MA ;
SCHUMACHER, HR ;
HUDSON, AP .
ARTHRITIS AND RHEUMATISM, 1992, 35 (05) :521-529
[8]  
RAMANUJAM T, 1992, ARTHRITIS RHEUM, V35, pS104
[9]   PALINDROMIC ONSET OF RHEUMATOID-ARTHRITIS - CLINICAL, SYNOVIAL-FLUID, AND BIOPSY STUDIES [J].
SCHUMACHER, HR .
ARTHRITIS AND RHEUMATISM, 1982, 25 (04) :361-369
[10]   SYNOVITIS OF RECENT ONSET - CLINICOPATHOLOGIC STUDY DURING FIRST MONTH OF DISEASE [J].
SCHUMACHER, HR ;
KITRIDOU, RC .
ARTHRITIS AND RHEUMATISM, 1972, 15 (05) :465-+