犬の慢性関節リウマチに対する関節固定術の応用

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  • Arthrodesis in a dog with rheumatoid arthritis.

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A 6-year-old female maltese showed a walk with its weight bearing on the intercarpal joints of both forelegs since approximately 50 days ago. This was soon followed by the wobbling of the bilateral hindlegs.<BR>Plain X-ray examination to the four legs revealed remarkable resorption of bones bilaterally in the elbow joints, intercarpal joints, stifle joints and tarsal joints. Antinuclear antibody reaction test and rheumatoid factor in this case were both negative. However, since the clinical condition of this dog satisfied seven of the eleven diagnostic criteria specified by the American Rheumatism Association, the diagnosis of rheumatoid arthritis was established. The initial treatments consisted of administration of steroid and aspirin. Arthrodesis of the both carpal and stifle joints was performed and the result was satisfactory. Also the local irradiation of low-energy laser beam might stop the pain in this patient.

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