MAIL TRIBUNE, MedfortJ, Or.
r Thursday, June 78, 19S9
Painful Spinal
Disease Linked
To Heart Damage
Bethesda, Md. (Science
Service) Heart damage and
colitis may be important clues
to a painful spinal disease.
Research reported here at
te second Pan American
Congress on Rheumatic Dis
tts links "poker spine," or
ny losing spondylitis, an ex
ne form of a type of spinal
(gfthritis, with damage to the
aprrtic valve and to bowel in
(flfmmation. Six cases of poker spine
discovered among 100
tihts with ulcerative co
Jptis, Drs. Nathan J. Zvaifler
and W. Martel of Ann Ar
r, Mich., said. X-rays of
ptients with this bowel con
dition should be carefully ex
amined for the occasional case
of spinal arthritis that devel
ops, they suggested.
ortie Valve Affected
The aortic valve which con
trols blood flow pumped by
th$ heart to the main artery
or $orta is uniquely affected
in gses of poker spine (call
ed so, because it produces "a
(tiff, frozen back").
In this disease, Dr. Hugh A.
t9the.of Toronto, Canada,
$ijltined, collagen, a soft
jggorting material of the
body, is attacked. .
n studying the heart in
sectnH cases -of poker spine,
Dr. Smythe found, "the whole
vflej mechanism Is dilated
jgni Sgs downward into the
outflow tract of the left ven
tricW or pumping chamber
of th heart. However, he
ointftd out that the develop
ment of satisfactory oxygenat
irdj pumps have made direct
(ilostic valve surgery possible
income cases.
0lf Helpfal Treatment
Teia) evidence that hormone
trgtment intensifies blood
vessjl inflammation in rheu
matoid arthritis patients was
also presented to scientists at
tending the Congress.
Steroids are now the only
known helpful treatment for
reducing joint inflammation
temporarily. Dr. J. Peter Kul
ka of Boston, Mass., explain
ed they also tend to increase
the pre-existing vessel inflam
mation. Studies of some 12 rheuma
toid arthritic patients, half of
whom had received steroids,
indicate that blood vessel in
flammation is a "primary, di
rect manifestation" of the dis
OCjeja tnd that steroids only in-
$ueify the inflammation.
aletn-TOPD-A freeway oper
. etions seminar dealing with
)etlms of design, construc
4h0it, mintenance and law en-
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