Clinical manifestations and pathogenesis of hydroxyapatite crystal deposition in juvenile dermatomyositis

被引:22
作者
Pachman L.M. [1 ]
Boskey A.L. [1 ]
机构
[1] Molecular and Cellular Pathobiology Program, Children's Memorial Research Center, Chicago
关键词
Dermatomyositis; Neopterin; Calcinosis; Matrix Vesicle; Juvenile Dermatomyositis;
D O I
10.1007/s11926-996-0031-5
中图分类号
学科分类号
摘要
Pathologic deposition of mineral in the form of bone-like hydroxyapatite is a frequent occurrence in juvenile dermatomyositis (JDM) and other connective tissue diseases. Although the sizes of the mineral crystals in JDM are similar to those in bone, there is much more mineral in the deposits than there is in bone. Bone matrix proteins also accumulate associated with the deposits. The reasons for the formation of these deposits are not known. It is our hypothesis that persistent inflammation is a component of JDM and other hydroxyapatite deposition diseases. Other contributing factors are genetic, environmental, and physical chemical. This paper discusses the influence of inflammation on the deposition of hydroxyapatite, with emphasis on the clinical and environmental factors that may facilitate the formation of calcific deposits in JDM. Copyright © 2006 by Current Science Inc.
引用
收藏
页码:236 / 243
页数:7
相关论文
共 103 条
[1]  
Marie I., Matron P.Y., Levesque H., Et al., Influence of age on characteristics of polymyositis and dermatomyositis in adults, Medicine, 78, pp. 139-147, (1999)
[2]  
Boulman N., Slobodin G., Rozenbaum M., Rosner I., Calcinosis in rheumatic diseases, Semin. Arthritis Rheum, 34, pp. 805-812, (2005)
[3]  
Salmon J.E., Roman M.J., Accelerated atherosclerosis in systemic lupus erythermatosus: Implications for patient management, Curr Opin Rheumatol, 13, pp. 341-344, (2001)
[4]  
Jono S., Shioi A., Ikari Y., Nishizawa Y., Vascular calcification in chronic kidney disease, J Bone Miner Metab, 24, pp. 176-181, (2006)
[5]  
Werner L., Kollarits C.R., Mamalis N., Olson R.J., Surface calcification of a 3-piece silicone intraocular lens in a patient with asteroid hyalosis: A clinicopathologic case report, Ophthalmology, 112, pp. 447-452, (2005)
[6]  
Legrand A.P., Marinov G., Pavlov S., Et al., Degenerative mineralization in the fibrous capsule of silicone breast implants, J Mater Sci Mater Med, 16, pp. 477-485, (2005)
[7]  
Smith R.L., Sundberg J., Shamiyeh E., Et al., Skin involvement in Juvenile Dermatomyositis (JDM) is associated with loss of end row naifold capillary (NFC) loops, J Rheumatol, 31, pp. 1644-1649, (2004)
[8]  
Mendez E.P., Lipton R.B., Dyer A., Et al., Incidence of Juvenile Dermatomyositis (JDM) 1995-98: Results from the NIAMS Registry, Arthritis Care Res, 49, pp. 300-305, (2003)
[9]  
Banker B.Q., Dermatomyositis of childhood, J Neuropathol Exp Neurol, 34, pp. 46-75, (1975)
[10]  
Pachman L.M., Fedczyna T.O., Lutz J.L., Et al., Increased CD8+and CD56+ lymphocytes in untreated Juvenile Dermatomyositis (JDM) muscle biopsies (MBx) are associated with a short compared with a long disease duration, Arthritis Rheum, 43, (2000)