Biomedical subjects
N M Smukler
Publications and source records attributed to N M Smukler.
Arthritis and distal tuft resorption associated with keratosis palmaris et plantaris.
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Synovial fat necrosis associated with ischemic pancreatic disease.
A 59-year-old man with ischemic pancreatic disease, polyarthritis, and cutaneous nodules has shown histopathologic findings indicative of disseminated fat necrosis in a percutaneous biopsy specimen from the right knee. The histopathologic findings in the synovium included necrotic fat cells, distorted fat cells and adjacent lymphocytes, lipid laden histiocytes, and giant cells. In prior histopathologic studies of the joint involvement associated with this disorder, fat cell necrosis has been found only in the periarticular tissues, and the synovium has appeared normal or showed nonspecific inflammation. However, the present study shows that the synovial membrane may also be the site of fat necrosis and an associated inflammatory reaction; thus patients with this disorder may manifest arthritis in addition to periarthritis.
Chronic nondestructive arthritis associated with cutaneous polyarteritis.
Two patients with arthritis of the knee joints associated with cutaneous polyarteritis have been followed for 20 and 5 years. The arthritis is characterized by mild to moderate pain and stiffness and inflammatory joint effusions with predominantly polymorphonuclear leukocytes. Despite its chronicity, there has been no clinical or radiologic evidence of joint destruction. Necrotizing inflammation was seen in arteries of the deep skin but not in the small vessels observed in the synovial biopsy specimens.
Treatment of rheumatoid arthritis.
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Ankylosis in osteoarthritis of the finger joints.
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Latex fixation tests in sarcoidosis.
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Proceedings: Quinidine induced lupus erythematosus.
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