We have identified 8 definitions of PAM, and synthesized the clinical and radiographic items that are important for the classification of PAM. We have established the groundwork for future development classification criteria for PAM.
Aim
To study the clinical presentations of Behçet's disease in patients visiting a tertiary hospital in south‐western Saudi Arabia.
Patients and methods
Forty‐seven patients with Behçet's disease attending the Rheumatology Department at Asser Central Hospital, Saudi Arabia were recruited into the study. The study was conducted over a period of 5 years from January 2012 to July 2017. Medical records of the patients were reviewed to analyze the frequency of different clinical manifestations.
Results
The study had 26 men and 21 women. The mean age of the patients was 37.11 ± 11.9 years (range <30‐60 years). Frequency of main clinical manifestations in these patients included 89.4% (42/47) oral ulcers, 80.9% (38) genital ulcers, 55.3% (26/47) ocular complications, 55.3% arthralgia (26/47), 31.9% arthritis (15/47), 36% neurological complications (17/47), 34% gastrointestinal involvement (16), 17% pulmonary complication (8/47), cutaneous lesions in the form of skin pustules were found in 31.9% of cases and erythema only in 4.3% of patients. Deep venous thrombosis was observed in 66.6% of patients. About 96% of patients showed improvement with drugs. Only 2 patients died during the study period.
Conclusion
Behçet's disease showed higher male predominance in south‐western Saudi Arabia, similar to other Middle‐Eastern countries. The clinical characteristics are comparable to different studies reported from other countries. Regarding the care outcome, the majority of patients were cured using oral corticosteroids and other immunosuppressive drugs.
To identify frequency, causes and outcomes of hospitalisations among adult patients with systemic lupus erythematosus (SLE). Methods: A record-based retrospective study was conducted at Aseer Central Hospital for a period of four and half years from January 2012 to June 2016. The study includes adult SLE patients who were diagnosed according to the 1997 SLE criteria. Results: A total of 155 patients (8 males and 147 females) with 251 hospital admissions were included. The average admission rate for all cases was about 2.0 ± 1.0 times. The most commonly recorded causes of admissions were SLE nephritis flare (33.9%), and infections (16.3%). Mortality rate for SLE patients is almost 7.7% and the recorded main causes of death were pulmonary hemorrhage (33.3%), sepsis (25%), bilateral massive pulmonary oedema and pneumonia (8.3% for each). Conclusion: Almost half of adult SLE patients are frequently hospitalized. Female patients and those with associated chronic co-morbidity have more frequent admissions. Consequences of SLE remain the most frequently recorded causes for hospital admission. Pulmonary complications are the main cause for death. Therefore, prompt and aggressive management of pulmonary consequences could markedly reduce disease mortality. Adopting preventive measures such as using prophylactic antibiotics and pneumococcal vaccination, early in the disease course, should be accentuated.
Entering data using the iPad® application makes the patient encounter slightly longer, but reduces "missing fields." It also eliminates the delay between clinic visit and data entry thus improving the efficiency of clinical data capture in a research setting.
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