By Professeur Paul Doury, Dr. Yves Dirheimer, Dr. Serge Pattin (auth.)
It is with nice excitement and ,much curiosity that I authorised to put in writing the foreword to this publication via Paul Doury, Yves Dirheimer, and Serge Pattin almost about "algodystrophy." First, simply because i do know the level in their own adventure, from which they've got chosen the easiest for this e-book. moment, since it appeared to me that their precise research of the various works at the topic, works which were released world wide and which offer assorted physiopathologic interpretations, would supply a finished learn assembly a true desire. Algodystrophy, to undertake the time period utilized by the authors, benefits rheumatolog ists' cautious awareness. it's certainly a widespread situation and, as is now popular, happens within the such a lot assorted etiologic conditions; it's not exclusively posttraumatic, a suggestion on which prognosis had lengthy been dependent. This variable etiology indicates the complexity of algodystrophy's pathogenic mechanism.
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Extra info for Algodystrophy: Diagnosis and Therapy of a Frequent Disease of the Locomotor Apparatus
A. Nonspecific Indicators of Inflammation No biochemical signs of inflammation are usually seen in a1godystrophy: the erythrocyte sedimentation rate as well as protein electrophoresis and fibremia are normal. Serre et al.  found a normal sedimentation rate in 41 of 45 a1godystrophies of the foot, in the 4 remaining cases its elevation was related to intercurrent diseases. In forms with acute and "pseudoph1egmonous" onset, Ravault  observed transient elevation of the sedimentation rate.
Diffuse osteopenia is ultimately only a subjective evaluation, and we have already mentioned the difficulty of evaluating bone loss. We shall study in more detail the different methods for measuring bone density in Part 2, Chap. 4. Peri or juxta-articular osteopenia is explained by the accentuation of the demineralization process of the trabecular bone in the epiphyseal area which is seen, radiologically, as a periarticular hypertranslucency. This is due to thinness or even complete disappearance of the epiphyseal bone trabeculae, a particularly evocative sign of algodystrophy (Fig.
I. , placing the hand at a distance from the film) produces a larger image, but when a screen is not used the result is usually of poorer quality than that obtained by the conventional technique. Direct magnification makes it possible to obtain at once an image two to three times enlarged. A very fine focus and slow screens with high definition should be used. Genant et al. S s at a 48 in. focus-film distance. 2 mm focal spot tube. The radiographs are processed in a Kodak Industrial B processor and viewed by optical magnification using either the Schneider-Kreutznach lupe (4 x) or the Leitz Macro Promar projector (5-10 x).
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