类风湿性关节炎患者肩关节磁共振成像上的米粒体症状

详细

类风湿性关节炎患者肩关节磁共振成像(MRI)上的米粒体症状是一种罕见但特殊的发现。其特征是关节滑液、滑膜囊或滑膜鞘中出现多个圆形小结构。这些结构彼此相似,就像米粒一样。米粒体的成因至今不明。据推测,米粒体是因类风湿性关节炎或其他炎症性关节疾病患者滑膜微梗塞而形成的。在临床上,米粒体的存在可能会使患者感到疼痛。然而,情况并非总是如此。在放射诊断方法中,磁共振成像在检测米粒体方面发挥着主导作用。

本文介绍一例在肩关节磁共振成像中发现该症状的临床病例。该症状是在一名有长期类风湿性关节炎病史的患者身上发现的。患者因左肩部无痛性增大而就医。对左肩关节进行了电子计算机断层扫描(CT)和磁共振成像检查。医生通过这些检查发现了,米粒体症状是基础疾病的一种表现形式。这些检查有助于确定进一步的治疗策略。

作者简介

Sofia F. Ageeva

Lomonosov Moscow State University

编辑信件的主要联系方式.
Email: son.ageeva13@gmail.com
ORCID iD: 0000-0003-4726-0806
SPIN 代码: 9695-3717
俄罗斯联邦, Moscow

Daria A. Filatova

Lomonosov Moscow State University

Email: dariafilatova.msu@mail.ru
ORCID iD: 0000-0002-0894-1994
SPIN 代码: 2665-5973
俄罗斯联邦, Moscow

Elena A. Mershina

Lomonosov Moscow State University

Email: elena_mershina@mail.ru
ORCID iD: 0000-0002-1266-4926
SPIN 代码: 6897-9641

MD, Cand. Sci. (Med.), Аssistant professor

俄罗斯联邦, Moscow

Valentin Е. Sinitsyn

Lomonosov Moscow State University

Email: vsini@mail.ru
ORCID iD: 0000-0002-5649-2193
SPIN 代码: 8449-6590

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Moscow

参考

  1. Nasonov EL, Karateev DE, Balabanova RM. Rheumatoid arthritis. In: Nasonov EL, Nasonova VA, editors. Rheumatology. National manual. Moscow : GEOTAR-Media. 2008. P. 290–331 (In Russ)
  2. Rheumatoid arthritis. Clinical Guidelines. ID 250. Approved by the Scientific and Practical Council of the Ministry of Health of the Russian Federation. 2021. Available from: https://cr.minzdrav.gov.ru/schema/250 (In Russ)
  3. Bullock J, Rizvi SA, Saleh AM, et al. Rheumatoid Arthritis: A Brief Overview of the Treatment. Medical Principles and Practice. 2018;27(6):501–507. doi: 10.1159/000493390
  4. who.int [Internet]. World Health Organization [cited 6 September 2023]. Available from: https://www.who.int
  5. Kay J, Upchurch KS. ACR/EULAR 2010 rheumatoid arthritis classification criteria. Rheumatology. 2012;51 Suppl. 6:vi5–vi9. doi: 10.1093/rheumatology/kes279
  6. Narvaez JA, Narváez J, De Lama E, et al. MR Imaging of Early Rheumatoid Arthritis. RadioGraphics. 2010;30(1):143–163. doi: 10.1148/rg.301095089
  7. Edison MN, Caram A, Flores M, et al. Rice Body Formation Within a Peri-Articular Shoulder Mass. Cureus. 2016;8(8):e718. doi: 10.7759/cureus.718
  8. Forse CL, Mucha BL, Santos MLZ., et al. Rice body formation without rheumatic disease or tuberculosis infection: a case report and literature review. Clinical Rheumatology. 2012;31(12):1753–1756. doi: 10.1007/s10067-012-2063-8
  9. Narváez JA, Narváez J, Roca Y, et al. MR imaging assessment of clinical problems in rheumatoid arthritis. European Radiology. 2002;12(7):1819–1828. doi: 10.1007/s00330-001-1207-z
  10. Griffith JF, Peh WCG, Evans NS, et al. Multiple rice body formation in chronic subacromial/subdeltoid bursitis: MR appearances. Clinical Radiology. 1996;51(7):511–514. doi: 10.1016/s0009-9260(96)80193-0
  11. Kataria RK, Chaiamnuay S, Jacobson LD, et al. Subacromial bursitis with rice bodies as the presenting manifestation of rheumatoid arthritis. The Journal of rheumatology. 2003;30(6):1354–1355.
  12. Popert AJ, Scott DL, Wainwright AC, et al. Frequency of occurrence, mode of development, and significance or rice bodies in rheumatoid joints. Annals of the Rheumatic Diseases. 1982;41(2):109–117. doi: 10.1136/ard.41.2.109
  13. Reid HS, McNally E, Carr A. Soft tissue mass around the shoulder. Annals of the Rheumatic Diseases. 1998;57(1):6–8. doi: 10.1136/ard.57.1.6

补充文件

附件文件
动作
1. JATS XML
2. 图1。左肩关节磁共振成像:a、b——T2加权图像,冠状切片;c——T1加权图像,矢状切片;d——T1加权图像,横向切片。

下载 (265KB)
3. 图2。左肩关节磁共振成像,脂肪信号抑制的T2加权图像:a——横向切片;b——正面切片。滑膜囊内的小结构用箭头表示。

下载 (209KB)
4. 图3。肩关节计算机断层扫描,轴向切片:a——左肩关节,b——右肩关节。

下载 (181KB)

版权所有 © Eco-Vector, 2023

Creative Commons License
此作品已接受知识共享署名-非商业性使用-禁止演绎 4.0国际许可协议的许可。

##common.cookie##