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2022, Zanjan University of Medical Sciences
10.30699/jambs.30.140.275 Background & Objective: Monoarthritis is the inflammation of a single joint. There is limited data on the etiology of monorthritis in Iran. This study was aimed to evaluate epidemiologic charecteristics of the patients with monorthritis in Kashan, Iran. Materials & Methods: This cross-sectional study was conducted on 227 patients with monorthritis referred to the rheumatology clinic of Kashan, Iran between 2018 and 2019. General, physical and rheumatological examinations were performed on all patients. synovial fluid samples were analyzed for viscosity, leucocyte count, Gram's staining, culture and microscopic evaluation of crystals. Results: Mean age of the patients at the baseline was 56.1±17.2 years, out of whom 44.1% were male. Acute and chronic monoarthritis cases were 51.5% and 48.5%, respectively. The most common involved joint was the knee (60.7%) followed by the ankle (32.2%). Pseudogout (39.3%) and gout (31.6%) were the most common causes of acute monoarthritis. There was no significant difference in etiology of acute monoarthritis between male and female (P value=0.33). Osteoarthritis (53.50%) and rheumatoid arthritis (25.50%) were the most common causes of chronic arthritis. A significant correlation was obtained between sex and causes of chronic monoarthritis (P value=0.012). Patients with various etiologies of chronic monoarthritis had significantly different mean age (P value<0.001). Conclusion: The knee joint was the most common site affected by monoarthritis. Pseudogout and osteoarthritis were the most common causes of acute and chronic arthritis, respectively.
Objective: To determine the final diagnosis of patients presenting with monoarthritis. Place & Duration of Study: Study was conducted at Department of Rheumatology, Pakistan Institute of Medical Sciences (PIMS), Islamabad, between February 2010 and May 2011. Study Design: Descriptive Case Series Materials and Methods: Fifty consecutive patients 16-40 years of age, presenting with monoarthritis were recruited. Patients were interviewed and examined, followed by investigations. Patients were treated according to the initial work up and diagnosis made. If initial work up did not reveal diagnosis, symptomatic treatment was offered. Patients, who showed remission in 4-6 weeks, were not investigated further. In patients with arthritis extending beyond 6 weeks relevant wok up was done to reach the final diagnosis. Patients were followed up till the diagnosis was made. Results: Out of a total of 50 patients there were 56% (n=28) males and 44% (9=22) females. Mean age was 29.6 + 8.4 SD years. Duration of arthritis was less than 6 weeks in 38% (n=19) and more than 6 weeks in 62% (n=31) of patients. Knee was the most commonly involved joint(60%) followed by ankle, wrist, metatarsophalangeal, elbow and hip joints. White blood cell count was not helpful while radiographs and synovial fluid WBC count gave important diagnostic information. MRI of the affected joint and synovial biopsy in selected cases assisted in making diagnosis. 18% patients had osteoarthritis, 36% inflammatory, 14% infective, 8% gout, 4% malignancy related, 6% undifferentiated arthritis, 6% mechanical and 8% had miscellaneous causes Conclusion: In evaluating patients with monoarthritis, precise history, thorough clinical examination, radiographs of joint and synovial fluid examination are of great diagnostic value. MRI and synovial biopsy can be helpful in selected cases. Few cases may still remain undifferentiated despite all investigations. Key Words: Arthritis, Septic arthritis, Reactive arthritis, Osteoarthritis.
Medical Journal of Shree Birendra Hospital
Prospective evaluation of clinical profile and treatment outcome of patients presenting with polyarthritis diagnosed as rheumatoid arthritis2012 •
Introduction: Polyarthritis is a common presentation of patients attending medicine outpatient department. Among various causes Rheumatoid arthritis is the commonest and a well established case has distinct characteristic features. However the early presentation of this disease has not been clear thus leading to delay in treatment. The objectives of this study was to identify the various causes of polyarthritis in our clinical practice, discuss the varied clinical presentation of rheumatoid arthritis including early Rheumatoid arthritis and to evaluate the treatment response during one year follow up. Methods: Prospective longitudinal study conducted in a teaching hospital over a two years period Results: Rheumatoid arthritis was the commonest cause of polyarthritis (77.8%) with a period prevalence of 0.7%. Early presentation included atypical features like asymmetry, unilateral presentation, manifesting within 2 months to 2 years of diagnosis. 43% (n=18) of the patients had swellin...
Acute Medicine Journal
Problem based review: The patient with recent onset Polyarthritis2014 •
A wide variety of conditions can present as acute polyarthritis, ranging from those that are potentially life threatening, to those that are self-limiting, and those that represent the early stages of a persistent and potentially destructive form of arthritis. In this article, we describe the diagnostic approach and initial management of patients with recent onset polyarthritis, with the aid of an illustrative case vignette.
The Journal of rheumatology
Total incidence and distribution of inflammatory joint diseases in a defined population: results from the Kuopio 2000 arthritis survey2003 •
To study the incidence of inflammatory joint diseases in a defined population in Finland. We collected data for the year 2000 on a population of 87,000 inhabitants of Kuopio, Finland, of whom 20% were < 16 years of age. Information about the study was given through a local newspaper, and subjects attended one health center and 2 local hospitals for study. Inclusion criteria were that subjects have at least one peripheral joint with synovitis or signs of inflammation in sacroiliac, glenohumeral, or hip joints on the first visit. Incidence rates were calculated according to the diagnosis on the first visit, except for children, for whom diagnoses were established after 3 months' followup. A total of 188 adult incident cases (138 women, 50 men) and 11 children (8 girls, 3 boys) satisfied the inclusion criteria. The incidence of all arthritides was 230/100,000 (95% confidence interval 198.9-263.9) for the whole population; 271/100,000 (95% CI 233.7-312.7) for adults and 64/100,00...
Acta Orthopaedica et Traumatologica Turcica
Prevalence of symptomatic knee, hand and hip osteoarthritis among individuals 40 years or older: a study conducted in İzmir city2013 •
Introduction Spondyloarthritis (SpA) are a group of inflammatory rheumatic diseases that share some common clinical and genetic features such as inflammatory back pain, peripheral arthritis, enthesitis, anterior uveitis, sacroiliitis, and HLA-B27 positivity. The aim of the present study was to describe the clinical, radiologic, and genetic features of patients with undifferentiated spondyloarthritis (uSpA) and ankylosing spondylitis (AS). Patients and methods This study included 225 SpA patients (134 uSpA and 91 AS) attending our Rheumatology Outpatient Clinic consecutively. Patients underwent peripheral and axial joint and enthesitis assessment, erythrocyte sedimentation rate or C-reactive protein determination, HLA-B27 tissue typing, radiographic evaluation, and sacroiliac MRI. Results In total, 26 of 91 AS patients and 115 of 134 uSpA patients were women (28.6 vs. 85.8%) and 65 of AS and 19 of uSpA were men (71.4 vs. 14.2%). The time for diagnosis was 15.82 ± 20.7 months for AS patients and 5.91 ± 3.63 months for uSpA patients. Diagnostic delay was 102.46 ± 88.99 (median 83, range 8–377) months for AS and 74.23 ± 60.7 (median 55.5, range 0–238) months for uSpA patients. HLA-B27 positivity was present in 51.6% of AS and 14.9% of uSpA patients. The mean BASDAI level of patients with AS was 6.4 ± 1.1 and that of uSpA patients was 4.8 ± 2.1. Conclusion SpA are frequent diseases and physicians other than rheumatologists should also be aware of them. uSpA is more frequent in women than men. Early diagnosis of SpA is important because early treatment with new biological therapies may lead to much better results than applying them in the advanced stages.
Medical journal of the Islamic Republic of Iran
Estimating the prevalence and disease characteristics of rheumatoid arthritis in Tehran: A WHO -ILAR COPCORD Study (from Iran COPCORD study, Urban Study stage 1)2014 •
To estimate the prevalence and characteristics of Rheumatoid Arthritis (RA) in an urban area of Tehran. A total of 50 clusters were randomly selected in Tehran and 10291 subjects completed the COPCORD Core Questionnaire during 2004 and 2005. Patients with rheumatic complaints were examined and diagnosed by subspecialty fellows in rheumatology. Laboratory and radiology tests were also performed if required. A total of 35 subjects (5 men and 30 women) were diagnosed with RA, with a prevalence of 0.33% (95% CI: 0.22-0.46). Our results demonstrated that RA was six times more common in women than men. The mean age (± SD) of patients was 52.3 (± 17.6) years. Morning stiffness > 1 hour was reported in 37.1% of patients. Rheumatic signs were commonly found in wrist (60%), knee (60%), metacarpophalangeal (48.6%) and proximal interphalangeals of hand (40%). Approximately 46% of patients had difficulty carrying out daily activities. According to our study, the prevalence of RA in Iran seems...
Singapore Family Physicians
Approach To Symmetrical Polyarthritis with Focus on Rheumatoid Arthritis2017 •
Terrains/Theories, https://journals.openedition.org/teth/
Matteo Polleri, L'État, le contre-pouvoir et le post-fascisme : de Poulantzas à nos jours. Entretien avec Álvaro García Linera et Sandro Mezzadra2024 •
1988 •
Il Santo. Rivista francescana di storia, dottrina, arte, LXIV (2024), fasc. 1-2
Review of: FRANCESCA FLORES D’ARCAIS, Padova Urbs Picta. Le arti figurative alla corte dei Carraresi; con un saggio di Antonio Lovato: Musica da ascoltare, musica da vedere. L’Ars nova del Trecento a Padova, Il Poligrafo, Padova 2022, 322 p., ill. (Aedificium, 4)2024 •
Kritike: An Online Journal of Philosophy
The Notions of the Human Person and Human Dignity in Aquinas and Wojtyla2009 •
Applied Linguistics
Linguistic Devices of Identity Representation in English Political Discourse with a Focus on Personal Pronouns: Power and Solidarity2020 •
GM: Göttinger Miszellen 252 (2017), pp. 71-87
(2017) Captured, Defeated, Tied and Fallen: Images of Enemies in ancient Egypt2017 •
2002 •
2016 •
2021 •
2011 •
PLOS Genetics
Ribonuclease H1-targeted R-loops in surface antigen gene expression sites can direct trypanosome immune evasion2018 •
2023 •