[Are pathohistological studies helpful in the clinical differential diagnosis of chronic arthritis?].
We have evaluated the diagnostic and therapeutic consequences of histopathological examinations of knee synovium from 216 patients with chronic arthropathies. We were able to differentiate between non-rheumatic etiologies, such as tuberculous arthritis, villonodular synovitis, crystal arthropathies and chondromatosis. This resulted in the establishment of a diagnosis and often a guide to therapy as well. It is rarely possible however to conclusively differentiate among the different inflammatory rheumatic diseases or osteo-arthroses by the histopathology of the joint lesions seen.
Flechtenmacher
J
J
Orthopädische Universitäts-Klinik Heidelberg.
Rohe
K
K
Cotta
H
H
D001168:Arthritis / Q000473:pathology*; D001706:Biopsy; D015838:Chondromatosis, Synovial / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D007719:Knee Joint; D010003:Osteoarthritis / Q000473:pathology; D012189:Retrospective Studies; D013583:Synovial Membrane / Q000473:pathology*; D013585:Synovitis / Q000473:pathology; D013586:Synovitis, Pigmented Villonodular / Q000473:pathology; D014394:Tuberculosis, Osteoarticular / Q000473:pathology
Ist die pathohistologische Untersuchung bei der klinischen Differentialdiagnose chronischer Arthritiden hilfreich?