強直性脊柱炎足滑膜切除術酸性粘多糖

期刊名稱：J Rheumatol
英文題目：Tamale foot: deposit of acid mucopolysaccharides in the synovial sheaths of extensor tendons of the foot, resembling tendinitis, in a patient with juvenile ankylosing spondylitis.
中文題目：在幼態強直性脊柱炎病人中的Tamale足：足部伸肌腱腱鞘中酸性粘多糖沉積，類肌腱炎表現
文章來源：2000-7 ；27卷；1788-19頁
作者：Jimenez-Balderas FJ 、Fernandez-Diez J、Fraga A
英文摘要：
We describe a clinical case of juvenile ankylosing spondylitis (AS) that developed "pseudo-chronic tendinitis" of the foot. A 20-year-old male patient had HLA-B27 positive juvenile AS since he was 13 years old. At the age of 19 he presented chronic pain in the dorsum of the left foot. Examination disclosed an increased volume of the tarsal dorsum, with rubbery consistency, with no evidence of venous or lymphatic insufficiency, godette, or inflammation in laboratory tests, giving the foot the appearance of a tamale. Synovectomy of the foot extensor tendon sheath was followed by relief of pain and swelling. Histopathological study showed a deposit of acid mucopolysaccharides (MPS) with no inflammatory cell infiltrate. Tamale foot in juvenile AS may develop as a consequence of acid MPS deposit with no evidence of synovial inflammation. The good response to synovectomy suggests this is the preferred treatment for tamale foot.
中文摘要：
我們描述了一例發生足部“假慢性肌腱炎”的早期強直性脊柱炎病歷。一個20歲男性病人HLA-B27陽性，自13歲起患早期AS。在19歲是表現出左足背慢性疼痛。檢查發現跗骨背體積增大，橡皮腫，而沒有靜脈或淋巴異常或炎症的試驗室證據。病變是左足成Tamale樣。足部伸肌腱腱鞘滑膜切除術後疼痛和腫脹減輕。組織病理學研究表明有年非炎症細胞侵潤性酸性粘多糖（MPS）沉積。早期AS的Tamale足是酸性粘多糖沉積的結果，而非滑膜炎症。滑膜切除術的良好效果提示手術是Tamale足的首選治療方法。
英文關鍵詞：ankylosing spondylitisfootSynovectomyacid mucopolysaccharides
 
中文關鍵詞：強直性脊柱炎足滑膜切除術酸性粘多糖