[Comparison of clinical effect and blood concentration of phenylbutazone during long-term treatment].
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Biomedical subjects
Publications and source records attributed to J Pourel.
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Collagen induced arthritis (CIA) in rats is an experimental model that is characterized by an erosive synovitis associated with periostitis and both peripheral and axial ossifying enthesopathy. The influence of long-term therapy with sulfasalazine (80 mg/day on weekdays) on established CIA in Wistar Furth rats was investigated. Clinical and X-ray examination showed a significant improvement in the joint lesions of the uninjected paws in the treated rats as compared to controls. This effect was, however, delayed. On the other hand, periosteal new bone formation and caudal enthesopathy (spondylodiscitis) were not altered by the treatment.
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Interpretation of a bone scan requires perfect knowledge not only of normal appearances and of the various methods of expression of bony lesions but also of normal or pathological extra-skeletal uptakes which can : (1) be a source of interpretation owing to their superposition with a bony segment. (2) provide useful further information directly linked to the bony disorder studied. (3) permits the unexpected discovery of lesions of the soft tissues. A careful clinical examination of the patient, and knowledge of the whole of the history permits one to explain most of the scanning abnormalities observed.