Lymphadenopathy secondary to silicone hand joint prostheses
The occurrence of lymphadenopathies was investigated in 23 patients with diverse rheumatic conditions who had silastic prosthesis in joints of the hands, to determine whether these adenopathies were due to the presence of silicone particles. Five cases had clinically detectable lymph node enlargemen...
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1990
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Acceso en línea: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0392856X_v8_n1_p17_Lazaro http://hdl.handle.net/20.500.12110/paper_0392856X_v8_n1_p17_Lazaro |
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paper:paper_0392856X_v8_n1_p17_Lazaro2023-06-08T15:40:58Z Lymphadenopathy secondary to silicone hand joint prostheses silicone arthroplasty article clinical article giant cell granulomatosis hand histology human lymphadenopathy osteoarthritis rheumatoid arthritis ultrastructure wrist X ray spectrometry Adult Aged Arthritis, Rheumatoid Electron Probe Microanalysis Female Hand Human Joint Prosthesis Lymphatic Diseases Male Middle Age Silicones The occurrence of lymphadenopathies was investigated in 23 patients with diverse rheumatic conditions who had silastic prosthesis in joints of the hands, to determine whether these adenopathies were due to the presence of silicone particles. Five cases had clinically detectable lymph node enlargement and tissue samples were studied by light and scanning electron microscopy (SEM) and energy dispersive X-ray analysis (EDXA). In 3 out of the 5 cases foreign body granulomas were observed by light microscopy, SEM showing a highly irregular distribution of foreign body material with a peak for silicone by EDXA. Foreign body particle distribution closely correlated with silicone concentration. No granulomas were found in the two remaining patients with adenopathies who presented a non-specific reactive lymphadenitis. Our findings show that silicone lymphadenopathy is a more frequent complication (13%) of silastic arthroplasty than is usually recognized and therefore should be considered in the differential diagnosis of patients with lymph node enlargement who have previously received a silicone arthroplasty. 1990 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0392856X_v8_n1_p17_Lazaro http://hdl.handle.net/20.500.12110/paper_0392856X_v8_n1_p17_Lazaro |
institution |
Universidad de Buenos Aires |
institution_str |
I-28 |
repository_str |
R-134 |
collection |
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
topic |
silicone arthroplasty article clinical article giant cell granulomatosis hand histology human lymphadenopathy osteoarthritis rheumatoid arthritis ultrastructure wrist X ray spectrometry Adult Aged Arthritis, Rheumatoid Electron Probe Microanalysis Female Hand Human Joint Prosthesis Lymphatic Diseases Male Middle Age Silicones |
spellingShingle |
silicone arthroplasty article clinical article giant cell granulomatosis hand histology human lymphadenopathy osteoarthritis rheumatoid arthritis ultrastructure wrist X ray spectrometry Adult Aged Arthritis, Rheumatoid Electron Probe Microanalysis Female Hand Human Joint Prosthesis Lymphatic Diseases Male Middle Age Silicones Lymphadenopathy secondary to silicone hand joint prostheses |
topic_facet |
silicone arthroplasty article clinical article giant cell granulomatosis hand histology human lymphadenopathy osteoarthritis rheumatoid arthritis ultrastructure wrist X ray spectrometry Adult Aged Arthritis, Rheumatoid Electron Probe Microanalysis Female Hand Human Joint Prosthesis Lymphatic Diseases Male Middle Age Silicones |
description |
The occurrence of lymphadenopathies was investigated in 23 patients with diverse rheumatic conditions who had silastic prosthesis in joints of the hands, to determine whether these adenopathies were due to the presence of silicone particles. Five cases had clinically detectable lymph node enlargement and tissue samples were studied by light and scanning electron microscopy (SEM) and energy dispersive X-ray analysis (EDXA). In 3 out of the 5 cases foreign body granulomas were observed by light microscopy, SEM showing a highly irregular distribution of foreign body material with a peak for silicone by EDXA. Foreign body particle distribution closely correlated with silicone concentration. No granulomas were found in the two remaining patients with adenopathies who presented a non-specific reactive lymphadenitis. Our findings show that silicone lymphadenopathy is a more frequent complication (13%) of silastic arthroplasty than is usually recognized and therefore should be considered in the differential diagnosis of patients with lymph node enlargement who have previously received a silicone arthroplasty. |
title |
Lymphadenopathy secondary to silicone hand joint prostheses |
title_short |
Lymphadenopathy secondary to silicone hand joint prostheses |
title_full |
Lymphadenopathy secondary to silicone hand joint prostheses |
title_fullStr |
Lymphadenopathy secondary to silicone hand joint prostheses |
title_full_unstemmed |
Lymphadenopathy secondary to silicone hand joint prostheses |
title_sort |
lymphadenopathy secondary to silicone hand joint prostheses |
publishDate |
1990 |
url |
https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_0392856X_v8_n1_p17_Lazaro http://hdl.handle.net/20.500.12110/paper_0392856X_v8_n1_p17_Lazaro |
_version_ |
1768543565003096064 |