title: [Relation between serum enzymes and articular radionuclide tests in the diagnosis of osteoarthrosis and rheumatoid arthritis].
abstract: Serum enzymes and articular radionuclide tests have a restricted application in solving the current diagnostic and differential-diagnostic problems of present-day rheumatology. The enzyme tests became positive in case of a high activity of rheumatoid arthritis, not objectivizing the articular degeneration. Their correlation with radionuclide tests of the patients with osteoarthrosis and the patients with rheumatoid arthritis is not elucidated. A juxtaposition was made of the serum enzymes with the articular radionuclide quantitative indices in 88 patients with rheumatoid arthritis with various clinical-laboratory activity, 88 patients with osteoarthrosis in various X-ray stages and 22 healthy controls. A correlation dependence was established between LDH, CPK, acid phosphatase, clearance effectiveness of articular cavity and the deposition of 99mTc-pyrophosphate in knee joints of the patients with osteoarthritis and between gamm-GT, alkaline phosphatase, acid phosphatase and radionuclide articular indices of the patients with rheumatoid arthritis. Those characteristics enabled the earlier overcoming of the diagnostic difficulties in those two basic rheumatic diseases.
mesh_terms: D000328:Adult; D001172:Arthritis, Rheumatoid / Q000175:diagnosis*; D004796:Clinical Enzyme Tests; D011756:Diphosphates; D004789:Enzyme Activation; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging*; D008875:Middle Aged; D010003:Osteoarthritis / Q000175:diagnosis*; D011877:Radionuclide Imaging; D013670:Sodium Pertechnetate Tc 99m; D013667:Technetium; D016698:Technetium Tc 99m Pyrophosphate; D014980:Xenon Radioisotopes
chemical_list: D011756:Diphosphates; D014980:Xenon Radioisotopes; D016698:Technetium Tc 99m Pyrophosphate; D013667:Technetium; D013670:Sodium Pertechnetate Tc 99m
vernacular_title: Vzaimootnoshenie mezhdu serumnite enzimi i stavnite radionuklidni testove v diagnostikata na osteroartreozata o revmatoidniia artrit.