Clinical rheumatology
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Clinical rheumatology · Mar 1984
Case ReportsSeptic arthritis and thigh abscess after dilatation and curettage.
A previously fit 57-year old housewife who developed a septic arthritis of the right knee and abscess in the right thigh after dilatation and curettage is described. This is the first report of joint and soft tissue complications occurring together after this procedure. Despite antibiotic therapy which eradicated the joint infection, the abscess required surgical intervention. This illustrates the potential morbidity of septic complications after a minor surgical procedure.
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Clinical rheumatology · Jun 1983
Hypothalamic-pituitary-adrenal (HPA) axis function in patients receiving long-term intra-articular corticosteroids.
The hypothalamic-pituitary-adrenal (HPA) axis function of eight patients with rheumatoid arthritis receiving regular intra-articular methyl prednisolone acetate was studied. Tests of the HPA axis 5-7 weeks after the last injection revealed suppression in two patients. Some patients receiving intra-articular corticosteroids may therefore have abnormal responses to stress.
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The radiographic findings and clinical outcome of 54 patients having a myelogram at the request of the Department of Rheumatology over a period of five years are described. Fortynine of the patients had either clinical features of an intervertebral disc protrusion or chronic back pain of obscure aetiology. ⋯ No unexpected malignancies were found. Morbidity was common, but usually mild.