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KMID : 0376419790030000223
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Chonbuk University Medical Journal
1979 Volume.3 No. 0 p.223 ~ p.228
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Synovianalysis in various arthritides
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Abstract
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Specific laboratory tests for diagnosis of various forms of arthritis are usually lacking.
Extensive knowledge of the characteristics of synovial fluid has been available for at least the past 30 years, when a monograph on the subject by Kling first appeared in 1938. Since that time, Rapes, Bauer (1953), and Hollander (1960, 1961, 1966) have published classic monograph on their extensive studies and findings of synovial fluid.
It has becom eincreasingly clear during past 10 years that synovial fluid analysis is both the most valuable and yet the most neglected differential diagnostic test for arthritis.
We studied the synovial fluid from 73 cases of various forms of arthritis in the Department of Orthopedic Surgery, Jeonbug National University Medical. School Hospital, from January to October of 1978. 73 cases of arhtritis were considered of 19 osteoarthritides, l0, traumatic, 27 rheumatoid, 8 septic, and 9 tuberculous arthritides. Above 5 kinds of arthritides were grouped into three catagories according to Cathcart and Cohen´s classification.
The first group, noninflammatory joint effusions, consisting of osteoarthritis and traumatic arthritis, was associated with mild inflammatory reactions and increased amount of fluid, but no significant changes in the number of WBC, sugar concentration, mucin content or viscosity,
The second group, mild inflammatory joint effusions, namely, rheumatoid arthritis and its variants, showed turbid yellow appearance, low viscosity, fair or good mucin clot formation, elevated but relatively low total WBC counts, anddecre:ased amount of synovial sugar.
The third group, severe inflammatory joint effusions, such as tuberculous arthritis and septic arthritis, was characterized by low viscosity, poor mucin clot formation, and low joint sugar concentration.
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KEYWORD
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