RESUMO
The authors present the case history of a 48-year-old man with ochronosis. They discuss the possibilities of articular needle biopsy in the diagnosis of this disease. The histology of the synovial membrane may help establish the diagnosis of ochronotic arthropathy.
Assuntos
Artropatias/patologia , Articulações/patologia , Ocronose/patologia , Biópsia por Agulha , Humanos , Artropatias/etiologia , Masculino , Pessoa de Meia-Idade , Ocronose/complicações , Membrana Sinovial/patologiaRESUMO
The double-isotope technique for the estimation of intestinal calcium absorption was simplified by using the scintillation liquid Insta-Gel. The urine was mixed with Insta-Gel without any previous preparation. A suitable constitution of the sample was ascertained by preliminary experiments (1 ml urine + 10 ml Insta-Gel); the stability of the samples, the correctness of 45Ca (counting separately as well as mixed with 47Ca) and the linearity of the counting rates of 45Ca obtained in a range of doses over four orders was proved. In 43 subjects aged 20 to 65 years and without any disturbance of calcium metabolism or intestinal function, the average normal value of fractional calcium absorption was 45.9 +/- 1.6% (SEM).
Assuntos
Cálcio/metabolismo , Absorção Intestinal , Cintilografia/métodos , Adulto , Idoso , Radioisótopos de Cálcio , Humanos , Pessoa de Meia-IdadeRESUMO
A significant correlation between the activity of the bone isoenzyme or serum alkaline phosphatase and the urinary hydroxyproline excretion in osteomalacia, osteoporosis, primary hyperparathyroidism with osteodystrophy, Paget's disease, secondary bone tumours, and in a control group was found (P less than 0.001). This close correlation was not observed between these variables in patients with active acromegaly. Diagnosis determined from these indices of formation and turnover of bone matrix agreed with that established by histological and histochemical examination of bone, by X-ray investigation of the skeleton, and by the radionuclear 85Sr test. The relationship between the activity of bone isoenzyme and urinary hydroxyproline excretion differed in metabolic bone diseases with a high bone turnover, in patients with osteoporosis and in patients with early osteoclastic bone metastases.
