2024-03-28T19:52:38Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:00015474
2023-11-16T05:49:56Z
499:508:509:1459
Osseous Lesions of the Hand and Foot in Diabetes Mellitus: Correlation between Magnification Roentgenographic Findings and Clinical Findings
SAKAI, MICHIKO
47156
SAKUMA, SADAYUKI
47157
ISHIGAKI, TAKEO
47158
Diabetes mellitus
Osteoarthropathy
Magnification radiography
Multivariate analysis
1986-03
Twofold magnification radiograms of hands and feet in 384 diabetic cases were reviewed to determine the correlation between clinical findings and osseous lesions, especially early changes. A small, well-demarcated, round radiolucent lesion (small lytic lesion) was the most frequent finding in 87.2% of the 384 patients. In particular, a small lytic lesion of less than 1 mm in diameter was encountered in 85.9% of all cases by magnification radiography. A small lytic lesion can be thought of not only as a specific finding but also as one of the prodromic findings of diabetic osteoarthropathy. Localized osteopenia was also specific for diabetes, with a fairly high frequency (39.1%). Multivariate analysis revealed significant correlation between osseous lesions, especially small lytic lesions, and retinopathy. Significant correlation between retinopathy and osseous lesions was also identified by clinical follow-up cases. These facts suggest that microangiopathy may play an important role in the development of osseous involvements.
departmental bulletin paper
Nagoya University School of Medicine
1986-03
Nagoya Journal of Medical Science
1-4
48
55
65
http://hdl.handle.net/2237/17492
2186-3326
0027-7622
eng
http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/4814/4814.html