Iconocerf: Clinical case

Cas 1372

French version

Speciality : osteo-articular

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Clinical case : man : 76 years

History : @ 76 year old man hospitalized for assessment of an interstitial nephropathy. Evolutionary complication of a known ochronosis since the birth. The rachidian and peripheral osteo-articular demonstrations are very important.

Diagnosis : @ ochronosis OR RHEUMATISM ALCAPTONURIQUE

Diagnosis comments : @ The ochronosis is a hereditary enzymopathy being transmitted on a recessive autosomic mode. Its forecast is related to the urinary complications etosteoarticulaires. Calcifications of the intervertebral discs are evocative. The peripheral arthrosis associate important destruction and calcifications will intra and extra-articular major.

MeSH keys : JOINTS

Authors :



imageInfos

Comments :
@ LUMBAR RACHIS OF PROFILE: On a bottom of osteoporosis diffuse moderate, calcifications of the intervertebral discs and pinching of all the discs going until the fusion of the vertebral bodies on the level of the first lumbar parts. Calcifications of the para-vertebral ligaments.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ CERVICAL RACHIS OF PROFILE: the discs are gripped and slightly calcified. There is moreover an exuberant former osteophytose.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ BASIN OF FACE: hyperostosis with ossification of the acetabulum right and the ischiatic tuberosities. Irregular thickening of the pubic symphysis. Normal sacro-iliaques joints. On the level of the hips: pinching of the articular line spaces, thickening under chondral and osteophytose discrete.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ BASIN OF FACE THREE YEARS LATER complete:Destruction of the femoral heads with hyperostosis major of the eyebrows cotyloidiens. Important deteriorations dela symphysis pubic.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ KNEES OF FACE: Signs of severe osteoarthritis associating a marked pinching of the line spaces and an important sclerosis under chondrale. In addition, bilateral reaction osteo chondromatous and calcifications capsulaires.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ KNEES OF PROFILE: The bodies étrangersintraarticulaires and ossifications extra-articular are quite visible.

Compression mode : GROSS

Picture's date or number : 03/07/96

Comments :
@ SHOULDER LEFT OF FACE: Lesions similar to those observed on the level of the knees with signs of very marked osteoarthritis. The head humerus is completely flattened with pseudo-cystic multiples géodes. Marked Réactionosteochondromateuse.

Compression mode : GROSS

Picture's date or number : 03/07/96


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