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Erschienen in: rheuma plus 6/2021

27.09.2021 | Aus der Praxis

Fallbericht und Review

Symmetrische Gelenkschwellung bedeutet nicht automatisch Arthritis

verfasst von: Dr. V. Ferincz, K. Schöls, B. F. Leeb, A. Maieron

Erschienen in: rheuma plus | Ausgabe 6/2021

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Zusammenfassung

Ein 35-jähriger Patient wird vom Hausarzt wegen einer symmetrischen Schwellung der Sternoklavikulargelenke zur weiteren Abklärung zugewiesen. Das Labor zeigt sich weitestgehend unauffällig. Radiologisch wird eine avaskuläre Nekrose der Sternoklavikulargelenke festgestellt. Der Artikel gibt eine Übersicht über die Risikofaktoren, die Einteilungen und die Diagnostik der avaskulären Knochennekrose.
Literatur
1.
Zurück zum Zitat Powell C, Chang C, Naguwa SM, Cheema G, Gershwin ME (2010) Steroid induced osteonecrosis: an analysis of steroid dosing risk. Autoimmun Rev 9(11):721–743CrossRef Powell C, Chang C, Naguwa SM, Cheema G, Gershwin ME (2010) Steroid induced osteonecrosis: an analysis of steroid dosing risk. Autoimmun Rev 9(11):721–743CrossRef
2.
Zurück zum Zitat Shigemura T, Nakamura J, Kishida S et al (2011) Incidence of osteonecrosis associated with corticosteroid therapy among different underlying diseases: prospective MRI study. Rheumatology 50:2023CrossRef Shigemura T, Nakamura J, Kishida S et al (2011) Incidence of osteonecrosis associated with corticosteroid therapy among different underlying diseases: prospective MRI study. Rheumatology 50:2023CrossRef
3.
Zurück zum Zitat Kamen DL, Alele JD (2010) Skeletal manifestations of systemic autoimmune diseases. Curr Opin Endocrinol Diabetes Obes 17:540CrossRef Kamen DL, Alele JD (2010) Skeletal manifestations of systemic autoimmune diseases. Curr Opin Endocrinol Diabetes Obes 17:540CrossRef
4.
Zurück zum Zitat Wang A, Ren M, Wang J (2018) The pathogenesis of steroid-induced osteonecrosis of the femoral head: a systematic review of the literature. Gene 671:103CrossRef Wang A, Ren M, Wang J (2018) The pathogenesis of steroid-induced osteonecrosis of the femoral head: a systematic review of the literature. Gene 671:103CrossRef
5.
Zurück zum Zitat Matsuo K, Hirohata T, Sugioka Y et al (1988) Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res 115–123 Matsuo K, Hirohata T, Sugioka Y et al (1988) Influence of alcohol intake, cigarette smoking, and occupational status on idiopathic osteonecrosis of the femoral head. Clin Orthop Relat Res 115–123
6.
Zurück zum Zitat Shigemura T, Nakamura J, Kishida S et al (2012) The incidence of alcohol-associated osteonecrosis of the knee is lower than the incidence of steroid-associated osteonecrosis of the knee: an MRI study. Rheumatology 51:701CrossRef Shigemura T, Nakamura J, Kishida S et al (2012) The incidence of alcohol-associated osteonecrosis of the knee is lower than the incidence of steroid-associated osteonecrosis of the knee: an MRI study. Rheumatology 51:701CrossRef
7.
Zurück zum Zitat Yoon BH, Kim TY, Shin IS et al (2017) Alcohol intake and the risk of osteonecrosis of the femoral head in Japanese populations: a dose-response meta-analysis of case-control studies. Clin Rheumatol 36:2517CrossRef Yoon BH, Kim TY, Shin IS et al (2017) Alcohol intake and the risk of osteonecrosis of the femoral head in Japanese populations: a dose-response meta-analysis of case-control studies. Clin Rheumatol 36:2517CrossRef
8.
Zurück zum Zitat Wen Z, Lin Z, Yan W, Zhang J (2017) Influence of cigarette smoking on osteonecrosis of the femoral head (ONFH): a systematic review and meta-analysis. Hip Int 27:425CrossRef Wen Z, Lin Z, Yan W, Zhang J (2017) Influence of cigarette smoking on osteonecrosis of the femoral head (ONFH): a systematic review and meta-analysis. Hip Int 27:425CrossRef
9.
Zurück zum Zitat Dimant J, Ginzler EM, Diamond HS et al (1978) Computer analysis of factors influencing the appearance of aseptic necrosis in patients with SLE. J Rheumatol 5:136PubMed Dimant J, Ginzler EM, Diamond HS et al (1978) Computer analysis of factors influencing the appearance of aseptic necrosis in patients with SLE. J Rheumatol 5:136PubMed
10.
Zurück zum Zitat Oinuma K, Harada Y, Nawata Y et al (2001) Osteonecrosis in patients with systemic lupus erythematosus develops very early after starting high dose corticosteroid treatment. Ann Rheum Dis 60:1145CrossRef Oinuma K, Harada Y, Nawata Y et al (2001) Osteonecrosis in patients with systemic lupus erythematosus develops very early after starting high dose corticosteroid treatment. Ann Rheum Dis 60:1145CrossRef
11.
Zurück zum Zitat Gladman DD, Dhillon N, Su J, Urowitz MB (2018) Osteonecrosis in SLE: prevalence, patterns, outcomes and predictors. Lupus 27:76CrossRef Gladman DD, Dhillon N, Su J, Urowitz MB (2018) Osteonecrosis in SLE: prevalence, patterns, outcomes and predictors. Lupus 27:76CrossRef
12.
Zurück zum Zitat Mont MA, Glueck CJ, Pacheco IH et al (1997) Risk factors for osteonecrosis in systemic lupus erythematosus. J Rheumatol 24:654PubMed Mont MA, Glueck CJ, Pacheco IH et al (1997) Risk factors for osteonecrosis in systemic lupus erythematosus. J Rheumatol 24:654PubMed
13.
Zurück zum Zitat Asherson RA, Lioté F, Page B et al (1993) Avascular necrosis of bone and antiphospholipid antibodies in systemic lupus erythematosus. J Rheumatol 20:284PubMed Asherson RA, Lioté F, Page B et al (1993) Avascular necrosis of bone and antiphospholipid antibodies in systemic lupus erythematosus. J Rheumatol 20:284PubMed
14.
Zurück zum Zitat Mok MY, Farewell VT, Isenberg DA (2000) Risk factors for avascular necrosis of bone in patients with systemic lupus erythematosus: is there a role for antiphospholipid antibodies? Ann Rheum Dis 59:462CrossRef Mok MY, Farewell VT, Isenberg DA (2000) Risk factors for avascular necrosis of bone in patients with systemic lupus erythematosus: is there a role for antiphospholipid antibodies? Ann Rheum Dis 59:462CrossRef
15.
Zurück zum Zitat Jones LC, Mont MA, Le TB et al (2003) Procoagulants and osteonecrosis. J Rheumatol 30:783PubMed Jones LC, Mont MA, Le TB et al (2003) Procoagulants and osteonecrosis. J Rheumatol 30:783PubMed
16.
Zurück zum Zitat Hedri H, Cherif M, Zouaghi K et al (2007) Avascular osteonecrosis after renal transplantation. Transplant Proc 39:1036CrossRef Hedri H, Cherif M, Zouaghi K et al (2007) Avascular osteonecrosis after renal transplantation. Transplant Proc 39:1036CrossRef
17.
Zurück zum Zitat Marston SB, Gillingham K, Bailey RF, Cheng EY (2002) Osteonecrosis of the femoral head after solid organ transplantation: a prospective study. J Bone Joint Surg Am 84:2145CrossRef Marston SB, Gillingham K, Bailey RF, Cheng EY (2002) Osteonecrosis of the femoral head after solid organ transplantation: a prospective study. J Bone Joint Surg Am 84:2145CrossRef
18.
Zurück zum Zitat Weisinger JR, Carlini RG, Rojas E, Bellorin-Font E (2006) Bone disease after renal transplantation. Clin J Am Soc Nephrol 1:1300CrossRef Weisinger JR, Carlini RG, Rojas E, Bellorin-Font E (2006) Bone disease after renal transplantation. Clin J Am Soc Nephrol 1:1300CrossRef
19.
Zurück zum Zitat Nehme D, Rondeau E, Paillard F et al (1989) Aseptic necrosis of bone following renal transplantation: relation with hyperparathyroidism. Nephrol Dial Transplant 4:123PubMed Nehme D, Rondeau E, Paillard F et al (1989) Aseptic necrosis of bone following renal transplantation: relation with hyperparathyroidism. Nephrol Dial Transplant 4:123PubMed
20.
Zurück zum Zitat McClune B, Majhail NS, Flowers ME (2012) Bone loss and avascular necrosis of bone after hematopoietic cell transplantation. Semin Hematol 49:59CrossRef McClune B, Majhail NS, Flowers ME (2012) Bone loss and avascular necrosis of bone after hematopoietic cell transplantation. Semin Hematol 49:59CrossRef
21.
Zurück zum Zitat Kunstreich M, Kummer S, Laws HJ et al (2016) Osteonecrosis in children with acute lymphoblastic leukemia. Haematologica 101:1295CrossRef Kunstreich M, Kummer S, Laws HJ et al (2016) Osteonecrosis in children with acute lymphoblastic leukemia. Haematologica 101:1295CrossRef
22.
Zurück zum Zitat Heneghan MB, Rheingold SR, Li Y et al (2016) Treatment of osteonecrosis in children and adolescents with acute lymphoblastic leukemia. Clin Lymphoma Myeloma Leuk 16:223CrossRef Heneghan MB, Rheingold SR, Li Y et al (2016) Treatment of osteonecrosis in children and adolescents with acute lymphoblastic leukemia. Clin Lymphoma Myeloma Leuk 16:223CrossRef
23.
Zurück zum Zitat Inaba H, Pui CH (2010) Glucocorticoid use in acute lymphoblastic leukaemia. Lancet Oncol 11:1096CrossRef Inaba H, Pui CH (2010) Glucocorticoid use in acute lymphoblastic leukaemia. Lancet Oncol 11:1096CrossRef
24.
Zurück zum Zitat Brown P, Crane L (2001) Avascular necrosis of bone in patients with human immunodeficiency virus infection: report of 6 cases and review of the literature. Clin Infect Dis 32:1221CrossRef Brown P, Crane L (2001) Avascular necrosis of bone in patients with human immunodeficiency virus infection: report of 6 cases and review of the literature. Clin Infect Dis 32:1221CrossRef
25.
Zurück zum Zitat Morse CG, Mican JM, Jones EC et al (2007) The incidence and natural history of osteonecrosis in HIV-infected adults. Clin Infect Dis 44:739CrossRef Morse CG, Mican JM, Jones EC et al (2007) The incidence and natural history of osteonecrosis in HIV-infected adults. Clin Infect Dis 44:739CrossRef
26.
Zurück zum Zitat Large TM, Adams MR, Loeffler BJ, Gardner MJ (2019) Posttraumatic avascular necrosis after proximal femur, proximal humerus, talar neck, and scaphoid fractures. J Am Acad Orthop Surg 27:794CrossRef Large TM, Adams MR, Loeffler BJ, Gardner MJ (2019) Posttraumatic avascular necrosis after proximal femur, proximal humerus, talar neck, and scaphoid fractures. J Am Acad Orthop Surg 27:794CrossRef
27.
Zurück zum Zitat Desina O, Brunson A, Keegan THM, Wun T (2017) Osteonecrosis of the femoral head in sickle cell disease: prevalence, comorbidities, and surgical outcomes in California. Blood Adv 1:1287CrossRef Desina O, Brunson A, Keegan THM, Wun T (2017) Osteonecrosis of the femoral head in sickle cell disease: prevalence, comorbidities, and surgical outcomes in California. Blood Adv 1:1287CrossRef
28.
Zurück zum Zitat Linari S, Castaman G (2015) Clinical manifestations and management of Gaucher disease. Clin Cases Miner Bone Metab 12:157PubMedPubMedCentral Linari S, Castaman G (2015) Clinical manifestations and management of Gaucher disease. Clin Cases Miner Bone Metab 12:157PubMedPubMedCentral
29.
Zurück zum Zitat Su P, Li R, Liu S et al (2008) Age at onset-dependent presentations of premature hip osteoarthritis, avascular necrosis of the femoral head, or Legg-Calvé-Perthes disease in a single family, consequent upon a p.Gly1170Ser mutation of COL2A1. Arthritis Rheum 58:1701CrossRef Su P, Li R, Liu S et al (2008) Age at onset-dependent presentations of premature hip osteoarthritis, avascular necrosis of the femoral head, or Legg-Calvé-Perthes disease in a single family, consequent upon a p.Gly1170Ser mutation of COL2A1. Arthritis Rheum 58:1701CrossRef
30.
Zurück zum Zitat Zalavras CG, Vartholomatos G, Dokou E, Malizos KN (2002) Factor V Leiden and prothrombin gene mutations in femoral head osteonecrosis. Thromb Haemost 87:1079CrossRef Zalavras CG, Vartholomatos G, Dokou E, Malizos KN (2002) Factor V Leiden and prothrombin gene mutations in femoral head osteonecrosis. Thromb Haemost 87:1079CrossRef
31.
Zurück zum Zitat Miyanishi K, Kamo Y, Ihara H et al (2006) Risk factors for dysbaric osteonecrosis. Rheumatology 45:855CrossRef Miyanishi K, Kamo Y, Ihara H et al (2006) Risk factors for dysbaric osteonecrosis. Rheumatology 45:855CrossRef
32.
Zurück zum Zitat Sharareh B, Schwarzkopf R (2015) Dysbaric osteonecrosis: a literature review of pathophysiology, clinical presentation, and management. Clin J Sport Med 25:153CrossRef Sharareh B, Schwarzkopf R (2015) Dysbaric osteonecrosis: a literature review of pathophysiology, clinical presentation, and management. Clin J Sport Med 25:153CrossRef
33.
Zurück zum Zitat Roth A, Beckmann J, Bohndorf K, Fischer A, Heiß C, Kenn W, Jäger M, Maus U, Nöth U, Peters KM, Rader C, Reppenhagen S et al (2016) S3-Guideline non-traumaticadult femoral head necrosis. Arch Orthop Trauma Surg 136(2):165–174CrossRef Roth A, Beckmann J, Bohndorf K, Fischer A, Heiß C, Kenn W, Jäger M, Maus U, Nöth U, Peters KM, Rader C, Reppenhagen S et al (2016) S3-Guideline non-traumaticadult femoral head necrosis. Arch Orthop Trauma Surg 136(2):165–174CrossRef
34.
Zurück zum Zitat Ficat RP (1985) Idiopathic bone necrosis of the femoral head: early diagnosis and treatment. J Bone Joint Surg Br 67:3–9CrossRef Ficat RP (1985) Idiopathic bone necrosis of the femoral head: early diagnosis and treatment. J Bone Joint Surg Br 67:3–9CrossRef
35.
Zurück zum Zitat Zizic TM, Marcoux C, Hungerford DS, Stevens MB (1986) The early diagnosis of ischemic necrosis of bone. Arthritis Rheum 29(10):1177CrossRef Zizic TM, Marcoux C, Hungerford DS, Stevens MB (1986) The early diagnosis of ischemic necrosis of bone. Arthritis Rheum 29(10):1177CrossRef
36.
Zurück zum Zitat Mont MA, Ulrich SD, Seyler TM et al (2008) Bone scanning of limited value for diagnosis of symptomatic oligofocal and multifocal osteonecrosis. J Rheumatol 35:1629PubMed Mont MA, Ulrich SD, Seyler TM et al (2008) Bone scanning of limited value for diagnosis of symptomatic oligofocal and multifocal osteonecrosis. J Rheumatol 35:1629PubMed
37.
Zurück zum Zitat Markisz JA, Knowles RJ, Altchek DW et al (1987) Segmental patterns of avascular necrosis of the femoral heads: early detection with MR imaging. Radiology 162:717CrossRef Markisz JA, Knowles RJ, Altchek DW et al (1987) Segmental patterns of avascular necrosis of the femoral heads: early detection with MR imaging. Radiology 162:717CrossRef
38.
Zurück zum Zitat Zibis AH, Varitimidis SE, Dailiana ZH et al (2015) Fast sequences MR imaging at the investigation of painful skeletal sites in patients with hip osteonecrosis. SpringerPlus 4:3CrossRef Zibis AH, Varitimidis SE, Dailiana ZH et al (2015) Fast sequences MR imaging at the investigation of painful skeletal sites in patients with hip osteonecrosis. SpringerPlus 4:3CrossRef
Metadaten
Titel
Fallbericht und Review
Symmetrische Gelenkschwellung bedeutet nicht automatisch Arthritis
verfasst von
Dr. V. Ferincz
K. Schöls
B. F. Leeb
A. Maieron
Publikationsdatum
27.09.2021
Verlag
Springer Vienna
Erschienen in
rheuma plus / Ausgabe 6/2021
Print ISSN: 1868-260X
Elektronische ISSN: 2191-2610
DOI
https://doi.org/10.1007/s12688-021-00442-x

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