Document Detail


Treatment of persistent knee effusions with intra-articular radioactive gold.
MedLine Citation:
PMID:  1125918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with a total of 112 chronic knee effusions unresponsive to the usual conservative methods of therapy were treated with intra-articular injections of radioactive gold and followed from 6 months to 5 years. Most patients in the study had rheumatoid arthritis but others had ankylosing spondylitis, psoriatic arthritis, intermittent hydrathrosis and undiagnosed synovitis. After 6 months 81% showed improvement. This figure diminished to approximately 70% at 1 and 2 years, 60% at 3 and 4 years and 50% at 5 years. The mose beneficial results were seen in patients with intermittent hydrarthrosis. Twelve patients with a synovial cyst and/or rupture improved. Patients with thin synovia and anatomic stage I or II disease did best, but those with stage III disease also did well. After the injection 33% of the patients had a reactive synovitis. A variable amount of radioactive material escaped from the knee to the regional lymph nodes and general circulation.
Authors:
J R Topp; E G Cross; A G Fam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  112     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1975 May 
Date Detail:
Created Date:  1975-07-24     Completed Date:  1975-07-24     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  1085-9     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Arthritis, Rheumatoid / drug therapy
Drug Evaluation
Female
Follow-Up Studies
Gold Colloid, Radioactive / administration & dosage*,  therapeutic use
Humans
Injections, Intra-Articular
Joint Diseases / drug therapy*,  pathology
Knee Joint*
Male
Spondylitis, Ankylosing / drug therapy
Synovitis / drug therapy
Time Factors
Chemical
Reg. No./Substance:
0/Gold Colloid, Radioactive
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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