Romatoid artritli olgularda krikoaritenoid eklem değişikliklerinin klinik ve bilgisayarlı tomografi bulgularının karşılaştırılması
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Tarih
2002
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Romatoid artrit etyolojisi bilinmeyen, simetrik erozif atini ve multisistem tutulumuyla giden otoimmün bir hastalıktır. Krikoaritenoid eklemler romatoid artritten etkilenen gerçek diartroidal eklemlerdir. Çalışmamızda, romatoid artritli olgularda bu eklemlerdeki değişikliklerin semptom, fizik muayene ve bilgisayarlı tomografi bulguları karşılaştırıldı. Romatoid artrit tanıtı 15 olguda, 30 krikoaritenoid eklemin üstüste binme tekniği ile elde edilen bilgisayarlı tomografi görüntüleri incelendi. Sonuçlar, semptom ve fizik muayene bulgularıyla karşılaştırıldı. Krikoaritenoid eklemde %66.7 olguda semptom, %13.3 olguda fizik muayene, %80 olguda bilgisayarlı tomografi pozitifti. Krikoaritenoid eklem incelemesinde, kıkırdaklarda volüm (%30), dansite artışı (%30), sublüksasyon (%20), eklemde belirginleşme (%16.7) ve eklem mesafesinde daralma (%6.7) saptandı. Bilgisayarlı tomografi romatoid artritli olgularda klinik bulgu vermeyen krikoaritenoid eklem değişikliklerini göstererek olguların olası risklere karşı korunmasını sağlar. Eklem değişikliklerinin gösterilmesi ve takibinde kullanılabilecek başarılı bir görüntüleme yöntemidir.
Rheumatoid arthritis is an autoimmune disorder with unknown etiology characterized by symmetric, erosive synovitis and multisystem involvement. The cricoarytenoid joints are true diarthroidal joints that can be affected by rheumatoid disease. We investigated the involvement of these joints in patients with rheumatoid arthritis and compared the clinical findings with that of computed tomography findings. Thirty of cricoarytenoid joints were examined with overlapping technique of computed tomography in a total of 15 patients with rheumatoid arthritis. The results were compared with that of clinical findings. Syptom in 66.7% cases, physical examination in 13.3% cases and computed tomography in 80% cases were positive in cricoarytenoid joints. Increased volume (30%) and density of cartilages (30%), subluxation (20%), cricoarytenoid prominence (16.7%) and decreased joint space (6.7%) was diagnosed in cricoarytenoid joints. Computed tomography reveals cricoarytenoid joint changes which associated any clinical findings, and makes safe patients with rheumatoid arthritis. Computed tomography is a succesfull imaging method in revealing joint involvements and for follow up.
Rheumatoid arthritis is an autoimmune disorder with unknown etiology characterized by symmetric, erosive synovitis and multisystem involvement. The cricoarytenoid joints are true diarthroidal joints that can be affected by rheumatoid disease. We investigated the involvement of these joints in patients with rheumatoid arthritis and compared the clinical findings with that of computed tomography findings. Thirty of cricoarytenoid joints were examined with overlapping technique of computed tomography in a total of 15 patients with rheumatoid arthritis. The results were compared with that of clinical findings. Syptom in 66.7% cases, physical examination in 13.3% cases and computed tomography in 80% cases were positive in cricoarytenoid joints. Increased volume (30%) and density of cartilages (30%), subluxation (20%), cricoarytenoid prominence (16.7%) and decreased joint space (6.7%) was diagnosed in cricoarytenoid joints. Computed tomography reveals cricoarytenoid joint changes which associated any clinical findings, and makes safe patients with rheumatoid arthritis. Computed tomography is a succesfull imaging method in revealing joint involvements and for follow up.
Açıklama
Anahtar Kelimeler
Kulak, Burun, Boğaz
Kaynak
Kulak Burun Boğaz ve Baş Boyun Cerrahisi
WoS Q Değeri
Scopus Q Değeri
Cilt
10
Sayı
2
