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Biomedical subjects

D Loreck

Publications and source records attributed to D Loreck.

At least 37 records · Page 2Linked to original sources

[Organ manifestations, immunologic findings and roentgen morphologic changes in the bones of the hand in progressive scleroderma].

In 60 patients with progressive sclerodermia apart from investigations of clinical and paraclinical parameters detailed evaluations of the X-ray-morphological findings at the skeleton of the hand were performed. Possible connections between the proof of pathological immunophenomena, the frequency of visceral manifestations at other organs, the duration of the disease and pathological X-ray-morphological changes at the skeleton of the hand are discussed and own conclusions are drawn.

Antibodies, Antinuclear↗

[Psoriasis arthropathica and seronegative rheumatoid arthritis--differential diagnostic considerations].

For differential-diagnostic considerations concerning seronegative arthritides two groups of patients with 25 patients each of the disease groups psoriasis arthropathica and serologically negative rheumatoid arthritis were selected. The differentiation of the two diseases was performed by clinical, paraclinical and radiological findings. When there are no typical psoriatic changes of skin and/or nails and there is an empty family anamnesis concerning this dermatosis, respectively, the coordination of seronegative arthritides is considerably rendered more difficult. Here the radiomorphological investigations particularly of the sacroiliacal joint and/or of the spine essentially contribute, since the arthritis of the sacroiliacal joint is to seen in high incidence in psoriasis arthropathica. Out of the number of the paraclinical values the determination of the complement factor C 4 and of immunoglobulin M gets the importance of a sign of differentiation, in which case C 4 in the psoriasis arthropathica and the immunoglobulin M in the seronegative rheumatoid arthritis are statistically significantly increased. The problems of the often difficult differential diagnosis between the two groups of disease can be clarified only by complex clinical examinations, paraclinical parameters and subtile radiodiagnosis. A close interdisciplinary cooperation between experienced dermatologists, rheumatologists and radiologists seems reasonable.

Adult↗

[Roentgen diagnostic studies of peripheral joints, sacroiliac joints and the spine in psoriasis arthropathy].

The secure diagnosis "psoriasis arthropathica" must always be the result of a clinical examination, paraclinical and radiological findings. In 150 patients with arthropathic psoriasis X-ray examinations of peripheral joints, of the sacroiliac joints and of the spine were performed. As a result of subtle evaluations of the findings X-ray-morphological criteria on the skeleton of hand and foot, on the sacroiliac joints and on the spine may be derived. On the basis of the experiences gathered recommendations for the practice in form of radiographic objects of an X-ray-diagnostic basic programme in primary diagnostics and in repeated examinations are proposed. An optimum diagnostics of the arthropathic psoriasis can be achieved only ba close co-operation and by constant mutual informations between rheumatologists, dermatologists and radiologists.

Adult↗