Long term hemodialysis spondylarthropathy: an atlanto-occipital location.
A 41 years old patient on hemodialysis for 17 years with a clinical and radiological picture of osteoarticular beta 2 microglobulin amyloidosis, is presented. The patient had skeletal involvements, included cystic lesions of the left hip and both humeral heads and a C5/C6 spondylarthropathy. She had also associated carpal tunnel syndrome. Radiological exploration of the atlanto-occipital articulation demonstrated destructive changes. Histology documented osseous and periarticular deposition of beta 2 microglobulin derived amyloid. This is an unusual location of destructive spondylarthropathy in a patient on chronic hemodialysis.
Service de Neuroradiologie, Hôpital Saint-Julien, CHU Nancy, France.
B
B
Grignon
S
S
Bracard
H
H
Abadou
J
J
Roland
L
L
Picard
D000328:Adult; D000686:Amyloidosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001269:Atlanto-Occipital Joint / Q000473:pathology*; D002574:Cervical Vertebrae / Q000473:pathology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D006435:Renal Dialysis / Q000009:adverse effects; D013122:Spinal Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D001613:beta 2-Microglobulin
D001613:beta 2-Microglobulin