Asymmetry of small joint involvement in rheumatoid arthritis: prevalence and tendency towards symmetry over time

Zangger, Philippe; Keystone, Edward; Bogoch, Earl R.

doi:10.1016/j.jbspin.2004.08.013

Cited by 34 publications

(37 citation statements)

References 34 publications

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“…yaptıkları bir çalışmada asimetrik tutulumun prevelansını %13 ile %16 arasında bildirmişlerdir. 6 Kliniğimizde halen yürütül-mekte olan bir çalışmada 75 olguluk kohortta 3 vakada asimetrik RA saptadık. Bizim asimetrik RA sayımız literatürle karşılaştırıldığında oranlarımız çok düşüktür.…”

Section: Olguunclassified

“…Literatürde simetrizasyon konusunda daha çok el ve ayak eklemleri değerlendirilmiş-tir. 6 Bu nedenle kalça, diz, dirsek ve omuz eklemlerindeki asimetri prevelansı ve simetrizasyon oranı el, el bileği ve ayak eklemlerinden farklı olabilir. El ve el bileği tutulumu dışında birinci olgumuzda sağ, ikinci olgumuzda sol ayakta tutulum gözlenirken, üçüncü olgumuzda sağ el bileği dışın-da tutulum yoktu.…”

Section: Olguunclassified

“…Bir çalışmada seropozitif hastaların iki kat daha fazla simetrizasyon gösterdiği bildirilmiştir. 6 Ancak bazı çalışmalarda simetrik ve asimetrik tutulumlu RA arasında fark saptanmamıştır. 7 Bizim olgularımızın üçünde de RF pozitif bulundu.…”

Section: Olguunclassified

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Asymmetrical joint involvement and rheumatoid arthritis: Three cases

Yazmalar¹,

Hiz²,

Ediz³

et al. 2011

Sakarya Med J

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ÖzetSymmetric joint involvement one of the criteria of diagnose of rheumatoid arthritis arranged by American College of Rheumatology. Although it is often mentioned about symmetric joint involvement on cases with rheumatoid arthritis, there are fewer cases about asymmetric joint involvement. It was observed that frequency of asymmetric joint involvement is higher in cese in which disease activity is low and rheumatoid factor is negative. In this article, our aim is to conspicuousness on asymmetric joint involvement of rheumatoid arthritis by submitting three cases on which rheumatoid arthritis was diagnosed according to criteria of American College of Rheumatology. AbstractSimetrik eklem tutulumu, 1987 yılında Amerikan Romatizma Derneği(ACR) tarafından düzenlenen romatoid artrit tanı kriterleri arasında yer almaktadır. Literatürde romatoid artritli olgularda simetrik tutulumdan sıklıkla söz edilmesine karşın, asimetrik eklem tutulumu ile ilgili olgulara daha az rastlanmaktadır. Hastalık aktivitesi düşük olan ve RF negatif olgularda asimetrik tutulumun görülme sıklığının daha fazla olduğu bildirilmektedir. Asimetrik eklem tutulumu ile başlayan hastalık; seyri sırasında simetrik forma dönüşebilir ya da asimetrik olarak devam edebilir. Bu yazıda asimetrik eklem tutulumu olan ve ACR kriterlerine göre romatoid artrit tanısı konan üç olguyu sunarak romatoid artritin asimetrik eklem tutulumuna dikkat çekmeyi amaçladık.

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Asymmetrical joint involvement and rheumatoid arthritis: Three cases

Yazmalar¹,

Hiz²,

Ediz³

et al. 2011

Sakarya Med J

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“…To ensure a high incidence of CIA induction, an identical secondary injection was performed 2 weeks after the primary injection. Untreated male DBA/1J mice and CIA mice were examined over the course of the 13-week experimental period using five non-invasive examinations including JSW, bone erosion, grip strength ability, presence of edema and erythema, and paw volume (7) indicates the number of times examined in arthritic mice (24) and the number of times examined in control mice (3 or 7), over the course of the 13-week experimental period…”

Section: Bone Erosion Examinationmentioning

confidence: 99%

Non-invasive screening of progressive joint defects in the Type II collagen-induced arthritis animal model using radiographic paw images

et al. 2010

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“…Disease durati on of 12 weeks or more is strongly predicti ve of persistent RA 3. The symmetry of RA is someti mes overemphasized, and it must be appreciated that this is a general, rough symmetry. RA can have unilateral manifestati on 4,5 and early RA may have varied presentati ons not abiding with the American College of Rheumatology (ARA) criteria or the American College of Rhematological Diseases (ACR, 1988) criteria 6 . Though RA is the most common cause of polyarthriti s, many other causes are also encountered ti me and again.…”

Section: Introductionmentioning

confidence: 99%

Prospective evaluation of clinical profile and treatment outcome of patients presenting with polyarthritis diagnosed as rheumatoid arthritis

Neopane

Sharma

Rayamajhi

2012

Med. J. Shree Birendra Hosp.

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Introducti on: Polyarthriti s is a common presentati on of pati ents att ending medicine outpati ent department. Among various causes Rheumatoid arthriti s is the commonest and a well established case has disti nct characteristi c features. However the early presentati on of this disease has not been clear thus leading to delay in treatment. The objecti ves of this study was to identi fy the various causes of polyarthriti s in our clinical practi ce, discuss the varied clinical presentati on of rheumatoid arthriti s including early Rheumatoid arthriti s and to evaluate the treatment response during one year follow up. Methods: Prospecti ve longitudinal study conducted in a teaching hospital over a two years periodResults: Rheumatoid arthriti s was the commonest cause of polyarthriti s (77.8%) with a period prevalence of 0.7%. Early presentati on included atypical features like asymmetry, unilateral presentati on, manifesti ng within 2 months to 2 years of diagnosis. 43% (n=18) of the pati ents had swelling and tenderness in overused joints 1.5 years prior to full clinical manifestati on. Flitti ng or migratory joint pain not considered to be a feature of rheumatoid arthriti s was also present in 14.3% (n=6) pati ents with mean durati on of 1.5 years prior to full blown presentati on. MCPJ (metacarpophalyngeal joints) and PIP (proximal interphalyngeal joints) were involved in 90%. Treatment response with Methotrexate as a single DMARD was good as compared with DAS 28 ESR score. Conclusions:RA is a common arthriti s with varied clinical presentati on. Recogniti on of early symptoms is needed for early diagnosis and initi ati on of DMARD. Methotrexate as a DMARD is eff ecti ve and should be initi ated early.

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Asymmetry of small joint involvement in rheumatoid arthritis: prevalence and tendency towards symmetry over time

Cited by 34 publications

References 34 publications

Asymmetrical joint involvement and rheumatoid arthritis: Three cases

Asymmetrical joint involvement and rheumatoid arthritis: Three cases

Non-invasive screening of progressive joint defects in the Type II collagen-induced arthritis animal model using radiographic paw images

Prospective evaluation of clinical profile and treatment outcome of patients presenting with polyarthritis diagnosed as rheumatoid arthritis

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