Femoral Shaft Erosion Associated with Calcium Pyrophosphate Crystal Deposition Disease Case Report

Kengo Takayama; Takehiko Torisu; Masahiko Nakamura; Katsuhiro Tada; Toru Fujiwara; Shuuta Shin; Shougo Masumi

doi:10.5035/nishiseisai.42.877

CPPD結晶沈着症に伴う Femoral Shaft Erosion について

高山健吾, 鳥巣岳彦, 中村雅彦, 多田勝弘, 藤原亨, 針秀太, 真角昭吾

著者情報

ジャーナルフリー

1993 年 42 巻 2 号 p. 877-880

DOI https://doi.org/10.5035/nishiseisai.42.877

詳細

発行日: 1993/03/25 受付日: - J-STAGE公開日: 2010/02/25 受理日: - 早期公開日: - 改訂日: -
訂正情報
訂正日: 2010/02/25 訂正理由: - 訂正箇所: 引用文献情報訂正内容: Wrong : 1) Alexander, C.: Erosion of the femoral shaft due to patello-femoral osteoarthritis. Clin. Radiol., 11: 110-113, 1960.
2) Doppman, J. L.: The association of patellofemoral erosion and synovial hypertrophy: A diagnostic entity. Radiology, 82: 240-245, 1963.
3) Hansen, S. E., et al.: A comparative study of radiographic changes in knee joints in chondrocalcinosis, osteoarthritis and rheumatoid arthritis. Scand. J. Rheumatology, 13: 85-92, 1984
4) Lagier, R.: Rare femoral erosions and osteoarthrosis of the knee associated with chondrocalcinosis. Virchows Arch. A Path. Anat. and Histol., 364: 215-223, 1974.
5) McCarty, D. J.: Arthritis and allied conditions. 9th ed., Lea & Febiger, Philadelphia: 1276-1299, 1979.
6) McCarty, D. J., et al.: Arthritis and allied conditions. 11th ed., Lea & Febiger, Philadelphia: 1711-1736, 1989.
S) Richards, A. J., et al.: Destructive arthropathy in chondrocalcinosis articularis. Ann. rheum., 33: 196-203, 1974.

Right : 1) Alexander, C.: Erosion of the femoral shaft due to patello-femoral osteoarthritis. Clin. Radiol., 11: 110-113, 1960.
2) Doppman, J. L.: The association of patellofemoral erosion and synovial hypertrophy: A diagnostic entity. Radiology, 82: 240-245, 1963.
3) Hansen, S. E., et al.: A comparative study of radiographic changes in knee joints in chondrocalcinosis, osteoarthritis and rheumatoid arthritis. Scand. J. Rheumatology, 13: 85-92, 1984
4) Lagier, R.: Rare femoral erosions and osteoarthrosis of the knee associated with chondrocalcinosis. Virchows Arch. A Path. Anat. and Histol., 364: 215-223, 1974.
5) McCarty, D. J.: Arthritis and allied conditions. 9th ed., Lea & Febiger, Philadelphia: 1276-1299, 1979.
6) McCarty, D. J., et al.: Arthritis and allied conditions. 11th ed., Lea & Febiger, Philadelphia: 1711-1736, 1989.
8) Richards, A. J., et al.: Destructive arthropathy in chondrocalcinosis articularis. Ann. rheum., 33: 196-203, 1974.

抄録

We reported a case of femoral shaft erosion with the patella wrapped around the femur associated with calcium pyrophosphate crystal deposition disease. There was little synovial proliferation on the femoral erosion site. Histologically there were no inflammatory changes in the synovium and bone cortex in the area of the femoral erosion. Acceleration of osteoclastic bone resorption on the bone cortex in the erosion was obsened. We concluded that the upper end of the patella contacted chronically with the femur, so that bone resorption was accelerated in that part of the femur, leading to femoral erosion.

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