Abstract
Scarred lesions and strictures involving the acral portions of fingers and toes may cause a deficiency of peripheral blood flow. If the blood supply to the bone is significantly impaired, osteolytic lesions may develop (e.g., in the terminal tufts of the distal phalanges). The precipitating causes are usually chronic and traumatic in nature (see below). Acute traumatization by heat, cold, electric shock, etc. is relatively uncommon. The pathogenesis of acro-osteolysis occurring in systemic diseases with peripheral blood flow disturbances (e.g., progressive scleroderma, hypertrophic osteoarthropathy; Table 8.1) is ultimately the same as in nonsystemic causes: whenever the “principal players” in bone remodeling, the osteoclasts and osteoblasts, are deprived of nutrition, the balance between production and resorption is tipped toward lysis, and bone substance is lost.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bertoli CL, Stassi J, Rifkin MD (1984) Ainhum anunusual presentation involving the second toe in a white male. Skeletal Radiol 11: 133
Destouet JM, Murphy WA (1981) Guitar player acroosteolysis. Skeletal Radiol 6: 275
Blumberg H (1988) Zur Entstehung und Therapie des Schmerzsyndroms bei der sympathischen Reflexdystrophie. Schmerz 2: 125
Genant HK, Kozin F, Bekerman C et al. (1975) The reflex Sympathie dystrophy syndrome. Radiology 117:21
Fleckenstein JL, Garg A, Bonte FJ et al. (1992) The skeleton in congenital, generalized lipodystrophy: evaluation using whole body radiographic surveys, magnetic resonance imaging and technetium-99m bone scintigraphy. Skeletal Radiol 21: 381
Gold RH, Steinbach HL (1967) Lipoatrophic diabetes mellitus (generalized lipodystrophy); roentgen findings in two brothers with congenital disease. AJR 101:884
Guell-Gonzalez JR, De Acosta OM, Alavez-Martin E et al. (1971) Bone lesions in congenital generalized lipodystrophy. Lancet 2:104
Reed WB, Dexter R, Corley C, Fish C (1965) Congenital lipodystrophic diabetes with acanthosis nigricans: Seip-Lawrence syndrome. AMA Arch Dermatol 91: 326
Sebrechts CH, Garvey WT, Sartoris DJ et al. (1987) Lipoatrophic diabetes mellitus (generalized lipodystrophy). Case report 417. Skeletal Radiol 16:320
Wesenberg RL, Gwinn JL, Barnes GR Jr (1968) The roentgenographic findings in total lipodystrophy. AJR103: 154
Bennett R, Petrozzi J (1975) Nodular subcutaneous fat necrosis. Arch Dermatol 111: 896
Gibson TJ, Schumacher HR, Pascual E, Brighton C (1975) Arthropathy, skin and bone lesions in pancreatic disease. J Rheumatol 2: 7
Haller J, Greenway G, Resnick D et al. (1989) Intraosseous fat necrosis associated with acute pancreatitis: MR imaging. Radiology 173:193
Radin DR, Colletti PM, Forrester DM et al. (1986) Pancreatic acinar cell carcinoma with subcutaneous and intraosseous fat necrosis. Radiology 158: 67
Simkin P, Brunzell J, Wisner D et al. (1983) Free fatty acids in the pancreatic arthritis syndrome. Arthritis Rheum 26:127
Smukler N, Schumacher H, Pascual E et al. (1979) Synovial fat necrosis associated with ischemic pancreatic disease. Arthritis Rheum 22: 547
Tannenbaum H, Anderson L, Schur (1975) Association of polyarthritis, subcutaneous nodules, and pancreatic disease. J Rheumatol 2:14
Wilson H, Askari A, Neiderhiser D et al. (1983) Pancreatitis with arthropathy and subcutaneous fat necrosis. Arthritis Rheum 26:121
Bishop AF, Destouet JM, Murphy WA et al. (1982) Tumoral calcinosis: case report and review. Skeletal Radiol 8: 269
Clarke E, Swischuk LE, Hayden CK (1984) Tumoral calcinosis, diaphysitis, and hyperphosphatemia. Radiology 151:643
Feldman ES, Dalinka MK, Schumacher HR (1981) Diffuse soft tissue calcification in tumoral calcinosis. Skeletal Radiol 7: 33
Harkess IW, Peters HJ (1967) Tumoral calcinosis. A report of six cases. J Bone Joint Surg Am 49: 721
Lufkin EG, Wilson DM, Smith LH et al. (1980) Phosphorus excretion in tumoral calcinosis: Response to parathyroid hormone and acetazolamide. J Clin Endocrinol Metab 50: 648
Manaster BJ, Anderson TD (1982) Tumoral calcinosis: serial images to monitor successful dietary therapy. Skeletal Radiol 8:123
Martinez S, Vogler JB, Harrelson JM et al. (1990) Imaging of tumoral calcinosis: new observations. Radiology 174: 215
Sissons HA, Steiner GC, Bonar F et al. (1989) Tumoral calcium pyrophosphate deposition disease. Skeletal Radiol 18: 79
Teutschländer O (1935) Über progressive Lipogranu-lomatose der Muskulatur. Zugleich ein Beitrag zur Pathogenese der Myopathia osteoplástica progressiva. Klin Wochenschr 14: 541
Hierholzer S, Hierholzer G (1984) Metallallergie als pathogenetischer Faktor fur die Knocheninfektion nach Osteosyntheses Unfallheilkd 87:1
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Freyschmidt, J., Freyschmidt, G. (1999). Other Diseases. In: SKIBO-Diseases Disorders Affecting the Skin and Bones. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59867-8_9
Download citation
DOI: https://doi.org/10.1007/978-3-642-59867-8_9
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-64159-6
Online ISBN: 978-3-642-59867-8
eBook Packages: Springer Book Archive