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The neo-synovial membrane of patients with active rheumatoid arthritis at resynovectomy
Authors:J. G. Saal  P. Fritz  B. J. Maschek  A. Mischlinski  W. Laschner
Affiliation:(1) Department II (Haematology, Oncology, Immunology, and Rheumatology), Medical University Hospital, W-7400 Tübingen, Germany;(2) Institute of Pathology, Robert-Bosch-Hospital, W-7000 Stuttgart 50, Germany;(3) Orthopaedic Clinic Dr. Baumann, W-7000 Stuttgart, Germany
Abstract:
Summary Neo-synovial membranes, which formed after ldquoprimaryrdquo synovectomy in 21 patients with rheumatoid arthritis (RA), were studied at resynovectomy. The clinical, histomorphological, and immunohistological data were compared with data derived from ldquoprimaryrdquo synovial membranes from RA and osteoarthritis (OA) patients. The clinical data suggest a less active rheumatoid inflammatory response after synovectomy. Histomorphologicaly, the synovitis in resynovectomized neosynovial membranes of RA revealed no qualitative differences when compared with synovitis in the ldquoprimaryrdquo synovium. However, the degree of the inflammatory rection evaluated by the different parameters was found to be distinctly lower. The immunohistological data correlated with these findings.
Keywords:Rheumatoid arthritis  Synovitis  Synovial membrane  Neo-synovial membrane  Resynovectomy
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