“…The Egyptian and Indian case-control study included 50 primary knee OA patients (Group I) fulfilling the American College of Rheumatology (ACR) classification criteria of knee OA 22 who attended Benha University hospital and ELMC Lucknow hospital Uttar Pradesh, India respectively, together with 50 age and sex-matched apparently healthy controls (Group II) with no symptoms or signs on clinical examination or radiographic changes indicative of knee OA or other joint disease. 20,23 Our interesting observation was that Indian study seems to draw its inspiration from Egyptian therefore patient cohort, methodology, criterion for inclusion /exclusion seem to mirror each other. Both studies excluded the patient having isolated patello-femoral OA; secondary OA due to trauma or deformity; metabolic disorders such as diabetes mellitus, thyroid disorders, or Cushing syndrome; or renal failure or were undergoing dialysis; infectious disorders such as septic arthritis, viral arthritis, or fungal arthritis; ,inflammatory arthritis such as rheumatoid arthritis, systematic lupus erythematosus, and sero-negative arthritis; malignancy; bilateral knee replacements; or relatives included in the study.…”