ENGLISH

Local Treatment of Inflammatory Joint Diseases: Benefits and Risks

By Willm Uwe Kampen , Manfred Fischer (eds.)

Book information

Publisher
Springer International Publishing
Year
2015
ISBN
978-3-319-16948-4, 978-3-319-16949-1
DOI
10.1007/978-3-319-16949-1
Language
english
Format
PDF
Filesize
5 MB (5001797 bytes)
Edition
1
Pages
144\147
Time added
2015-07-18 18:00:00
Nuclear Medicine; Radiotherapy

Description

This book presents a systematic survey of different local treatments in inflammatory joint diseases and their potential side effects and complications. Both surgical therapies and pharmaceutical strategies involving local or systemic application of anti-inflammatory and immunomodulating drugs are addressed. Special emphasis is placed on nuclear medicine therapy by intra-articular instillation of beta radiation emitters, known as radiosynoviorthesis or radiation synovectomy. Possible complications, in particular radionecrosis, infection, and thromboembolism, are described and available treatment strategies are examined in detail. In addition, radiation safety considerations are critically reviewed and relevant clinical questions are discussed. While radiosynoviorthesis is an effective and safe treatment if a proper indication is secured and if the application is performed by an experienced nuclear medicine physician, local complications can never be excluded with certainty. This book will support physicians who are engaged in the care and treatment of patients with inflammatory joint disease, approximately 30,000 of whom undergo radiosynoviorthesis in Europe each year.

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