Haematological Diseases - Importance of X-ray Pictures?
Nekula J.1, Michálková K.1, Vytřasová M.2, Pospíšilová D.3
Radiologická klinika, Fakultní nemocnice, Olomouc1 přednosta prof. MUDr. Josef Nekula, CSc. III. interní klinika, Fakultní nemocnice, Olomouc2 přednosta prof. MUDr. Vlastnil Ščudla, CSc. Dětská klinika, Fakultní nemocnice, Olomouc3 přednosta prof. MUDr. Vladimír Mihál, CSc. |
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Summary:
X-ray pictures of the axial and peripheral skeleton are in haematological diseases important in the
primary as well as differential diagnosis. Acute lymphoblastic leukaemia (ALL) in children, multiple
myeloma and haemophilia are diseases where the changes are significant.Metaphyseal clear spots,
diffuse osteoporosis and suddenly developed compressions of the vertebrae may be the first
symptoms which draw attention to possible ALL. Multiple myeloma causes typical changes on the
skull, spine, ribs and sternum but only in 10% they are found in the first stage of the disease, as
changes on magnetic resonance are decisive. Despite all modern therapy in haemophilia severe
articular damage develops (haemarthrosis) which calls even in young people for TEP.
The authors analyze in the submitted paper their own material of 62 leukaemias in children, 120
patients with multiple myeloma, 160 with haemophilia, 35 with anaemia and others with lymphomas
and osteomyelosclerosis. They demonstrate the most interesting case-histories and compare their
own experience with data in the literature.
Key words:
haematological diseases - acute leukaemia - multiple myeloma - haemophilia - X-ray
pictures
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