Differential Diagnosis of Large Joints Chronical Synovitis


To determine the genesis of large joint chronical synovitis the morphologic picture (facia) of synovial exudate was studied in 23 patients using the method of cuneate dehydration of biological liquid. Cytologic investigation showed leukocytosis with prevalence of neutrophils in all patients. All patients were divided into two groups. First group included 8 patients in whom septic pattern of inflammation was confirmed by the results of synovial fluid culture inoculation, second group - 15 patients with negative bacteriologic study results. The obtained data enabled to describe two types of synovial fluid facia that allowed differentiating septic pattern of inflammation from the reactive one.

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About the authors

V. V Zar

Moscow Regional Research and Clinical Institute named after M.F. Vladimirskiy

Email: vzar@list.ru

S. N Shatokhina

Moscow Regional Research and Clinical Institute named after M.F. Vladimirskiy


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