2015
DOI: 10.3201/eid2103.141397
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Post-Chikungunya Rheumatoid Arthritis, Saint Martin

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Cited by 40 publications
(41 citation statements)
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“…In most cases of CHIKV infection, patients develop symmetric oligo or polyarthralgia within minutes to days following the initial onset of fever [9, 18, 40]. While any joint can be affected, those that are most commonly reported are the distal extremities such as wrists, metacarpal and interphalangeal joints, as well as the ankles and metatarsophalangeal joints [18, 20, 36, 40, 41], though some studies have indicated that the knee is also commonly affected [9, 31, 36, 42].…”
Section: Joint Diseasementioning
confidence: 99%
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“…In most cases of CHIKV infection, patients develop symmetric oligo or polyarthralgia within minutes to days following the initial onset of fever [9, 18, 40]. While any joint can be affected, those that are most commonly reported are the distal extremities such as wrists, metacarpal and interphalangeal joints, as well as the ankles and metatarsophalangeal joints [18, 20, 36, 40, 41], though some studies have indicated that the knee is also commonly affected [9, 31, 36, 42].…”
Section: Joint Diseasementioning
confidence: 99%
“…While any joint can be affected, those that are most commonly reported are the distal extremities such as wrists, metacarpal and interphalangeal joints, as well as the ankles and metatarsophalangeal joints [18, 20, 36, 40, 41], though some studies have indicated that the knee is also commonly affected [9, 31, 36, 42]. While the majority of cases have this distribution, it is important to recognize that patient presentation can vary and include asymmetric polyarthritis, monoarthralgia, and involvement of less commonly affected joints, such as the elbow, hip, and shoulder, as well as vertebral pain in sacroiliac, lumbosacral, and cervical regions [9, 43, 44].…”
Section: Joint Diseasementioning
confidence: 99%
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“…Chronic rheumatoid-like polyarthritis known as PCCA that sometimes leads to destructive arthropathy occurs in around 5.6z of patients after acute CHIKV infection (14). PCCA was previously reported after an East/ Central/South African (ECSA) genotype infection, but a case of PCCA caused by the Asian genotype, as well as our case, was also reported in Saint Martin in the Caribbean islands in 2013 (15). Therefore, it is important to consider that the epidemic Asian genotypes could be a causative pathogen for PCCA.…”
Section: Discussionmentioning
confidence: 92%
“…A notable clinical feature of chikungunya is the persistence of joint symptoms for weeks to months, including a syndrome of post-chikungunya chronic infl ammatory rheumatism (10) . Among patients recruited from the outbreak on Reunion Island, older age, severity of presentation, and CHIKV-specifi c immunoglobulin G (IgG) titers were predictors of persistent symptoms (11) .…”
Section: Discussionmentioning
confidence: 99%