Download PDF by Smith S.: A Note on the Spectrum of Doubly Ionized Scandium

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17 ◊ subchondral sclerosis + subsequent ankylosis ◊ ossification of interosseous ligaments ♦ Enteropathic arthropathy ◊ same signs as in ankylosing spondylitis ♦ Rheumatoid arthritis (in late stages) ◊ joint space narrowing without reparation ◊ osteoporosis ◊ ankylosis may occur ♦ Deposition arthropathy: gout, CPPD, ochronosis, acromegaly ◊ slow loss of cartilage ◊ subchondral reparative bone + osteophytes ♦ Osteitis condensans ilii DDx:Hyperparathyroidism (subchondral bone resorption on iliac side resembling erosion + widening of joint) • BILATERAL ASYMMETRIC ♦ Psoriatic arthritis ◊ large extensive erosion 41 42 ◊ subchondral sclerosis + occasional ankylosis ♦ Reiter syndrome ♦ Juvenile rheumatoid arthritis • UNILATERAL ♦ Infection ♦ Osteoarthritis from abnormal mechanical stress ◊ no erosions ◊ irregular narrowing of joint space with subchondral sclerosis ◊ osteophytes at anterosuperior / -inferior aspect of joint (may resemble ankylosis) DDx:psoriatic arthritis, Reiter syndrome, trauma, gout, pigmented villonodular synovitis, osteitis condensans ilii Sacroiliac Joint Widening mnemonic:CRAP TRAP • Colitis • Rheumatoid arthritis • Abscess (infection) • Parathyroid disease • Trauma • Reiter syndrome • Ankylosing spondylitis • Psoriasis Sacroiliac Joint Fusion mnemonic:CARPI • Colitic spondylitis • Ankylosing spondylitis • Reiter syndrome • Psoriatic arthritis • Infection (TB) Widened Symphysis Pubis mnemonic:EPOCH • Exstrophy of the bladder • Prune belly syndrome • Osteogenesis imperfecta • Cleidocranial dysostosis • Hypothyroidism Arthritis of Interphalangeal Joint of Great Toe • Psoriatic arthritis • Reiter disease • Gout • Degenerative joint disease Ribs Thoracic Deformity Funnel Chest = Pectus Excavatum 42 43 • = posterior depression of sternum compressing heart against spine • Most frequently an isolated anomaly!

Arthropathy of inflammatory bowel disease 4. Psoriatic spondylitis 5. Normal population Monoarthritis Destructive Monoarthritis • 95% 80% 75% 70% 10% Any destructive monoarthritis should be regarded as infection until proved otherwise! 15 • Pigmented villonodular synovitis • Rheumatoid arthritis • Hemophilia Chondrocalcinosis mnemonic:WHIP A DOG • Wilson disease • Hemochromatosis, Hemophilia, Hypothyroidism, 1° Hyperparathyroidism (15%), Hypophosphatasia, Familial Hypomagnesemia • Idiopathic (aging) • Pseudogout (CPPD) • Arthritis (rheumatoid, postinfectious, traumatic, degenerative), Amyloidosis, Acromegaly • Diabetes mellitus • Ochronosis • Gout mnemonic:3 C's 36 37 Crystals CPPD, sodium urate (gout) Cations calcium (any cause of hypercalcemia), copper, iron Cartilage degeneration osteoarthritis, acromegaly, ochronosis Subchondral Cyst • = SYNOVIAL CYST = SUBARTICULAR PSEUDOCYST • = NECROTIC PSEUDOCYST = GEODES Etiology:bone necrosis allows pressure-induced intrusion of synovial fluid into subchondral bone; in conditions with synovial inflammation Cause: 1.

Ankylosing spondylitis 2. Reiter disease 3. Arthropathy of inflammatory bowel disease 4. Psoriatic spondylitis 5. Normal population Monoarthritis Destructive Monoarthritis • 95% 80% 75% 70% 10% Any destructive monoarthritis should be regarded as infection until proved otherwise! 15 • Pigmented villonodular synovitis • Rheumatoid arthritis • Hemophilia Chondrocalcinosis mnemonic:WHIP A DOG • Wilson disease • Hemochromatosis, Hemophilia, Hypothyroidism, 1° Hyperparathyroidism (15%), Hypophosphatasia, Familial Hypomagnesemia • Idiopathic (aging) • Pseudogout (CPPD) • Arthritis (rheumatoid, postinfectious, traumatic, degenerative), Amyloidosis, Acromegaly • Diabetes mellitus • Ochronosis • Gout mnemonic:3 C's 36 37 Crystals CPPD, sodium urate (gout) Cations calcium (any cause of hypercalcemia), copper, iron Cartilage degeneration osteoarthritis, acromegaly, ochronosis Subchondral Cyst • = SYNOVIAL CYST = SUBARTICULAR PSEUDOCYST • = NECROTIC PSEUDOCYST = GEODES Etiology:bone necrosis allows pressure-induced intrusion of synovial fluid into subchondral bone; in conditions with synovial inflammation Cause: 1.

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A Note on the Spectrum of Doubly Ionized Scandium by Smith S.


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