scholarly journals Assessment of fatigue in rheumatoid arthritis: Experience of physical medicine Casablanca

2013 ◽  
Vol 56 ◽  
pp. e13
Author(s):  
L. Riah ◽  
A. Naitkhachat ◽  
F. Lmidmani ◽  
A. Elfatimi

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M M H Hassabelnabi ◽  
N Y Assaf ◽  
H F Zidan ◽  
G M M Abushanab

Abstract Background rheumatoid arthritis is currently regarded as independent cardiovascular risk factor. Accelerated atherosclerosis considered as an extra-articular manifestation of RA that occurs as a result of interaction between traditional CV risk factors and inflammatory activity of joint disease. Both atherosclerosis and RA have in common inflammatory mediators. Objectives the presented study aimed to find the relation between cardiovascular affection and erosive articular changes in RA. Subjects and Methods The presented study included 40 patients’ men and premenopausal women that were diagnosed with rheumatoid arthritis fulfilling the 2010 ACR/EULAR classification criteria for rheumatoid arthritis recruited from the physical Medicine, Rheumatology, and Rehabilitation outpatient clinics of Ain Shams University, patients underwent laboratory investigation, carotid duplex, musculoskeletal ultrasound and echocardiography. Results Among 40 RA patients, 16 (40%) had erosions in both hands and 24 (60%) without erosion with no statistically significance difference between both sides of hand and feet, only 3 patients (7.5%) had active erosion exhibited by power Doppler. The presence of erosion positively correlated with the mean CIMT (p-value < 0.001) with mean 0.827±0.149, The presence of carotid plaques as a marker of advanced atherosclerosis showed statistically significant value with erosions (p = 0.001). There was positive relation between erosions with disease duration (p-value < 0.001), and negatively with DAS-28 (p = 0.083). Out of 33 patients with positive RF, 16 patients had erosions with statistically significant value (p = 0.017). Conclusion Since the presence of bone erosions was highly associated with higher mean CIMT, consequently, we recommend that when finding bone erosions in rheumatoid arthritis patient, good monitoring should be given to cardiovascular risk factors with early and proper treatment to limit the progression of erosions and protect against atherosclerosis and its complications.





2021 ◽  
Vol 9 (1) ◽  
pp. 34-37
Author(s):  
Fauzia Sobhan ◽  
Khaza Moiz ◽  
Naima Siddiquee ◽  
Aditi Debnath ◽  
Fazlul Haque ◽  
...  

Rheumatoid arthritis is a painful debilitating joint disease with the proliferation of the synovium and progressive erosion of cartilage and bone. Methotrexate (MTX) has been used for the treatment of Rheumatoid Arthritis (RA) for about 3 decades. It is most effective and commonly used Disease Modifying Antirheumatic Drugs (DMARDS) because it improves symptoms, signs, disease activity and functions. This study was done from January 2016 to December 2016 for a period of 1 year under Physical Medicine and Rehabilitation department, Jalalabad Ragib-Rabeya Medical College (JRRMC), Sylhet. Here we treated the patients with low dose methotrexate. Study was done to see the effect of low dose MTX in newly diagnosed RA patients by clinical examination and DAS 28. DAS stands for disease activity score and 28 joints that are examined in this assessment. The result concluded low dose MTX improves the symptoms, signs, disease activity and functions of the patients. Bangladesh Crit Care J March 2021; 9(1): 34-37



JAMA ◽  
1952 ◽  
Vol 148 (7) ◽  
pp. 525 ◽  
Author(s):  
Gordon M. Martin


1963 ◽  
Vol 6 (2) ◽  
pp. 177-185 ◽  
Author(s):  
Gordon M. Martin ◽  
Edward W. Lowman ◽  
William H. Kammerer


2013 ◽  
Vol 24 ◽  
pp. e124
Author(s):  
M. Silva ◽  
S. Guerreiro Castro ◽  
F.G. Magalhães ◽  
M. Antunes ◽  
E. Patarata ◽  
...  


PEDIATRICS ◽  
1957 ◽  
Vol 19 (4) ◽  
pp. 672-679
Author(s):  
Robert D. Gauchat ◽  
Charles D. May

WITHIN the past 10 years, increasing attention has been focused on children with chronic deforming arthritis. With few exceptions, such children have claimed interest of those concerned primarily with rheumatoid arthritis in adults, orthopedic surgeons and workers in the field of physical medicine, to whom these patients have presumably been referred for care by pediatricians and general practitioners. Lack of general pediatric interest in this disease is suggested by the small number of pertinent papers in the pediatric literature. Furthermore, the relative lack of importance of these children in the general thinking of students of arthritis is suggested by the fact that a current statistical study of the incidence and prevalence of rheumatoid arthritis in a large American metropolitan area has been arbitrarily limited to patients 15 years of age or older. Is rheumatoid arthritis sufficiently common within the pediatric group to deserve pediatric attention? Although there have been only a few statistical studies, the available evidence suggests that the incidence of new cases in the general population, under 15 years of age, is roughly the same for rheumatoid arthritis, diabetes mellitus and nephrosis, approximately 3 new cases per 100,000 persons under 15 years of age each year. In round numbers, 1200 new cases of rheumatoid arthritis, of diabetes and of nephrosis occur annually within the childhood population of this country. Parallel comparison of the amounts of attention paid to these three groups of patients by pediatricians would belabor the point. These juvenile victims of rheumatoid arthritis certainly deserve increasing pediatric attention, and we suggest that they also present many stimulating challenges.



1947 ◽  
Vol 40 (7) ◽  
pp. 596-600 ◽  
Author(s):  
Howard F. Polley


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