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MR Vol.13 No.3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.13 No.3 |
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A case of ochronotic arthropathy treated with
total hip arthroplasty
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| Shinichi Inoue1, Yasuo Iwata1 , Kousei Yoh1,
Yoshiteru Nakamura1 and Souji Maruo1 |
| (1) Department of Orthopedic Surgery, Hyogo
College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, 663-8501, Japan |
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| Received: 31 July 2002 Accepted: 20 December
2002 |
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| Abstract |
| We report a case of ochronotic arthropathy treated
with total hip arthroplasty. The articular cartilage of the patient''s
femoral head and synovium displayed black pigmentation. Microscopically,
the articular cartilage revealed reddish-brown pigmentation (particularly
in deep cartilage), necrotic chondrocytes, and slight black pigmentation
in the cytoplasm of chondrocytes. Electron microscopy revealed electron-dense
material deposited predominantly along and between collagen fibers. |
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| Key words |
| Alcaptonuria - Ochronotic arthropathy - Total
hip arthroplasty |
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