Deforming Arthropathy and Jaccoud's Syndrome in Patients with Systemic Lupus Erythematosus

Szczepański, L; Targonska, Bogna; Piotrowski, M

doi:10.3109/03009749209099248

Cited by 17 publications

(9 citation statements)

References 7 publications

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“…As our study confirmed, typical JA appears to be a late manifestation of longstanding arthritis (3, 45–47). With longer survival of SLE patients, the frequency of deforming JA of the hands can be expected to increase (1).…”

Section: Discussionsupporting

confidence: 84%

Removable foams based on an epoxy resin incorporating reversible Diels–Alder adducts

McElhanon

Russick

Wheeler

et al. 2002

J of Applied Polymer Sci

110

111

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ABSTRACT:We have successfully incorporated Diels-Alder reversible chemistry into epoxy resins. The Diels-Alder chemistry goes in the forward direction at 60°C and reverses at or above 90°C. One resin was formulated with other commercial ingredients into foamed epoxy. The foam, shown to have mechanical properties similar to foams formed with conventional epoxy resins, is being utilized for electronic encapsulation. Because of the built-in reversible chemistry, the foams can be easily removed by dissolution in 1-butanol at 90°C. Removal allows for the rework, upgrading, or dismantlement of the electronic components.

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Section: Discussionsupporting

confidence: 84%

Removable foams based on an epoxy resin incorporating reversible Diels–Alder adducts

McElhanon

Russick

Wheeler

et al. 2002

J of Applied Polymer Sci

110

111

View full text Add to dashboard Cite

show abstract

“…In four patients with Jaccoud’s arthropathy we found scapholunate dissociation and rotation of the scaphoid itself that had to be the consequence of weakening or slackening of the (radio-)carpal ligaments. It is interesting that Bywaters4had already noted the gross subluxation of the wrist and radiographs printed in several publications10 11 showed evident, scapholunate luxation or ulnar translocation of the wrist that was not described. For patients with Jaccoud’s arthropathy the estimated prevalence of articular hypermobility lies between 7 and 50 per cent, depending upon the method of evaluation used 12.…”

Section: Discussionmentioning

confidence: 97%

Deforming arthropathy or lupus and rhupus hands in systemic lupus erythematosus

Vugt¹,

Derksen²,

Kater³

et al. 1998

Annals of the Rheumatic Diseases

153

100

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Objective-Although deforming arthropathy in systemic lupus erythematosus (SLE) is characterised by a number of manifestations, definitive criteria for the diVerent forms have not yet been established. To define deforming arthropathy and its diVerent types a study was undertaken of 176 SLE patients. Methods-Using as criterion any deviation from any of the metacarpus finger axes 17 patients (16 women, one man) were identified with clinical deforming arthropathy. These patients were evaluated according to a standardised protocol that covered all known characteristics of deforming arthropathy. By means of "Jaccoud's arthropathy index" three diVerent forms were identified. Results-Three patients had an erosive form of deforming arthropathy (or rhupus hand) such as those seen in frank rheumatoid arthritis (RA), eight patients were identified as having Jaccoud's arthropathy (or lupus hand), and the remaining six patients had mild deforming arthropathy. Jaccoud's arthropathy is characterised by severe deformation of the hands (ulnar deviation, swan neck deformities, and Z deformity of the thumb) and feet with multiple non-erosive subluxations, mild aching and little or no evidence of synovitis. All patients, but one, fulfilled just four criteria of the ACR classification and joint symptoms were always found to precede the diagnosis of SLE. Furthermore a remarkable association of Jaccoud's arthropathy with fetal loss, thrombosisboth venous and arterial-and the presence of antiphospholipid antibodies was found. Conclusions-These data suggest that Jaccoud's arthropathy represents a subset of SLE. Subdivision of deforming arthropathy into several clinical forms can facilitate the clinical management of this disorder. (Ann Rheum Dis 1998;57:540-544)

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“…Further inquiry reveals evidence for morning stiffness, involvement of the MCPs and MTPs (which are not seen with osteoarthritis), and response to nonsteroidal anti-inflammatory arthritis. 63 The differential diagnosis of Ms. Smith's presentation includes undifferentiated connective tissue disease (UCTD). 61 In other words, the symptoms can be more profound than physical findings.…”

Section: Inflammatory Arthritismentioning

confidence: 99%

Management of Nonrenal Systemic Lupus Erythematosus 2

Wallace¹

2010

Targeted Treatment of the Rheumatic Diseases

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Deforming Arthropathy and Jaccoud's Syndrome in Patients with Systemic Lupus Erythematosus

Cited by 17 publications

References 7 publications

Removable foams based on an epoxy resin incorporating reversible Diels–Alder adducts

Removable foams based on an epoxy resin incorporating reversible Diels–Alder adducts

Deforming arthropathy or lupus and rhupus hands in systemic lupus erythematosus

Management of Nonrenal Systemic Lupus Erythematosus 2

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