Artículo
Abstract:
The occurrence of lymphadenopathies was investigated in 23 patients with diverse rheumatic conditions who had silastic prosthesis in joints of the hands, to determine whether these adenopathies were due to the presence of silicone particles. Five cases had clinically detectable lymph node enlargement and tissue samples were studied by light and scanning electron microscopy (SEM) and energy dispersive X-ray analysis (EDXA). In 3 out of the 5 cases foreign body granulomas were observed by light microscopy, SEM showing a highly irregular distribution of foreign body material with a peak for silicone by EDXA. Foreign body particle distribution closely correlated with silicone concentration. No granulomas were found in the two remaining patients with adenopathies who presented a non-specific reactive lymphadenitis. Our findings show that silicone lymphadenopathy is a more frequent complication (13%) of silastic arthroplasty than is usually recognized and therefore should be considered in the differential diagnosis of patients with lymph node enlargement who have previously received a silicone arthroplasty.
Registro:
| Documento: | Artículo |
| Título: | Lymphadenopathy secondary to silicone hand joint prostheses |
| Autor: | Lazaro, M.A.; Garcia Morteo, D.; De Benyacar, M.A.; Paira, S.O.; Lema, B.; Garcia Morteo, O.; Maldonado Cocco, J.A. |
| Filiación: | Seccion Reumatologia, Instituto Nacional de Rehabilitacion, Echeverria 955-1428 Buenos Aires, Argentina |
| Palabras clave: | silicone; arthroplasty; article; clinical article; giant cell; granulomatosis; hand; histology; human; lymphadenopathy; osteoarthritis; rheumatoid arthritis; ultrastructure; wrist; X ray spectrometry; Adult; Aged; Arthritis, Rheumatoid; Electron Probe Microanalysis; Female; Hand; Human; Joint Prosthesis; Lymphatic Diseases; Male; Middle Age; Silicones |
| Año: | 1990 |
| Volumen: | 8 |
| Número: | 1 |
| Página de inicio: | 17 |
| Página de fin: | 22 |
| Título revista: | Clinical and Experimental Rheumatology |
| Título revista abreviado: | CLIN. EXP. RHEUMATOL. |
| ISSN: | 0392856X |
| CODEN: | CERHD |
| CAS: | silicone, 63148-53-8, 8043-93-4, 8055-24-1; Silicones |
| Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0392856X_v8_n1_p17_Lazaro |
Citas:
---------- APA ----------
Lazaro, M.A., Garcia Morteo, D., De Benyacar, M.A., Paira, S.O., Lema, B., Garcia Morteo, O. & Maldonado Cocco, J.A. (1990) . Lymphadenopathy secondary to silicone hand joint prostheses. Clinical and Experimental Rheumatology, 8(1), 17-22.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0392856X_v8_n1_p17_Lazaro [ ]
---------- CHICAGO ----------
Lazaro, M.A., Garcia Morteo, D., De Benyacar, M.A., Paira, S.O., Lema, B., Garcia Morteo, O., et al. "Lymphadenopathy secondary to silicone hand joint prostheses" . Clinical and Experimental Rheumatology 8, no. 1 (1990) : 17-22.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0392856X_v8_n1_p17_Lazaro [ ]
---------- MLA ----------
Lazaro, M.A., Garcia Morteo, D., De Benyacar, M.A., Paira, S.O., Lema, B., Garcia Morteo, O., et al. "Lymphadenopathy secondary to silicone hand joint prostheses" . Clinical and Experimental Rheumatology, vol. 8, no. 1, 1990, pp. 17-22.Recuperado de https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0392856X_v8_n1_p17_Lazaro [ ]
---------- VANCOUVER ----------
Lazaro, M.A., Garcia Morteo, D., De Benyacar, M.A., Paira, S.O., Lema, B., Garcia Morteo, O., et al. Lymphadenopathy secondary to silicone hand joint prostheses. CLIN. EXP. RHEUMATOL. 1990;8(1):17-22.Available from: https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0392856X_v8_n1_p17_Lazaro [ ]
