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Biomedical subjects

M G Astapenko

Publications and source records attributed to M G Astapenko.

At least 19 recordsLinked to original sources
PubMed1988

[Clinical aspects and classification of primary osteoarthrosis deformans].

The authors reported the results of investigation of 70 patients with osteoarthrosis deformans followed up for 3-10 yrs. They defined 3 variants of a course of the disease: with rapid progression, slow progression, without noticeable progression. These variants differed in disease spreading, the frequency of arthrotic synovitis and the presence of hereditary predisposition. Signs of erosive arthrosis of the distal and proximal digital hand joints were noted in 12 patients with nodular polyosteoarthrosis. A characteristic signs in this group of patients was hereditary predisposition combined with local vegetative-vascular disorders and a strain on the digital hand joints, and degenerative affection of the cervical spine with the radicular syndrome.

Atrophy↗
PubMed1986

[Morphology of articular cartilage in osteoarthrosis].

A combined histological, histochemical, histoenzymochemical and morphometric study of 42 articular cartilage samples from patients with different degrees of osteoarthrosis (OA) was made. Ten cartilages without pathology taken at autopsy were used as controls. A characteristic feature in case of cartilage destruction by OA is a progressive loss of glycosaminoglycans (GAG) from the matrix with its defibrination and uzur formation. Decrease in GAG content is associated with partial destruction of chondrocytes and the emergence of cellular clones reflecting reparative regeneration of the cartilage. However, even at the early OA stage the reparation is not adequate, as the GAG content in the matrix at the sites of chondrocyte proliferation remains decreased compared to the control age group.

Adult↗
PubMed1976

[Results of different long term treatments of patients in the early stages of rheumatoid arthritis].

In a clinical 5-year-study on 200 patients with rheumatoid arthritis with the help of the dynamics of radiological changes (radiological progressing), the joint deformation, the reduction of function and the new affection of joints (clinical progressing) as well as the medium position of activity the progressing of the disease and a good, satisfying or missing success of the long-term therapy were estimated. From the characteristics of the individual groups of therapy conclusions for the therapy in the early phase of the rheumatoid arthritis were derived.

Adrenal Cortex Hormones↗
PubMed1976

[Early diagnosis of rheumatoid arthritis].

On the basis of own observations of courses the author adopts a definite attitude to the early symptomatology of the rheumatoid arthritis. During the first weeks of the rheumatoid arthritis the following symptoms are found: articular syndromes, more frequently in form of obstinate polyarthralgias, mono-oligoarthritis, accompanied by morning rigidity and accelerated BSR as well as impairment of the general condition. In the majority of the patients only the tentative diagnosis rheumatoid arthritis may be made. After a one to three months' course of the disease the diagnosis becomes more probable. It is above all based on constancy and symmetry, characteristic localisation of the articular process, morning rigidity, radiologically paraarticular loosening of the structure and morphological symptoms of an acute and subacute synovialitis. 6 to 12 months after the beginning of the disease a clinical picture forms which allows to make the diagnosis of a certain or classical rheumatoid arthritis in accordance with the criteria of the ARA. The occurrence of a high activity of multiple affection of the joints (permanent symmetrical polyarthritis including the small joints of the hands and feet), distinctive morning rigidity, high fever and much accelerated BSR, beginning with the first weeks of the disease, speaks for the possibility of the development of an arthrovisceral form of the course of rheumatoid arthritis.

Adult↗