Rheumatology and Orthopedic Medicine最新文献_第2页

Bicipital synovial cyst in poly-articular juvenile idiopathic arthritis 多关节幼年特发性关节炎的二头滑膜囊肿

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/ROM.1000166

K. Bouayed, Fenna El Founti, A. Sakhi, R. Taoussi, Z. Qechchar, N. Mikou

{"title":"Bicipital synovial cyst in poly-articular juvenile idiopathic arthritis","authors":"K. Bouayed, Fenna El Founti, A. Sakhi, R. Taoussi, Z. Qechchar, N. Mikou","doi":"10.15761/ROM.1000166","DOIUrl":"https://doi.org/10.15761/ROM.1000166","url":null,"abstract":"Background: Large synovial cysts are rare in juvenile idiopathic arthritis ( JIA). They are usually located in popliteal area. Bicipital cyst is uncommon and has been described in systemic onset of JIA during an inflammatory attack. We describe the presentation and clinical course of bicipital synovial cyst occurring in patient with polyarticular subtype of JIA. In our knowledge, it’s the first case reported. Case presentation: Our patient had an active disease with high level of biological inflammation. After ruling out the infectious origin of the cyst, the diagnosis was confirmed by ultrasonography revealing a liquid nature of the formation and magnetic resonance imaging showing the continuity between the shoulder’s joint effusion and the cyst. A complete resolution was obtained 4 weeks after control inflammation using high dose of anti inflammatory drugs (prednisone 1mg/kg/d, indomethacin 3 mg/kg/d). Conclusion: Bicipital cyst is an unusual condition of JIA, extremely rare in polyarticular form. His etiology remains poorly understood. Our Patient had a high level of biological inflammation as in systemic subtype. The diagnosis is confirmed by ultrasonography. Magnetic resonance imaging may be helpful in case of doubt. The treatment is no specific and based on the control of the disease activity. Even though bicipital cyst is rare manifestation of JIA, it should be considered as a complication of active disease related to inflammatory phenomena. *Correspondence to: Bouayed Kenza, Department of Pediatric Rheumatology, A. Harouchi University Children’s Hospital, Ibn Rochd, Mo-hamed El Fidouzi Street ex Jenner, Kergomard Street, Bay View Residence, A3, Ain Diab, Casablanca, Morocco, 20 052, Tel: +212 661 31 07 74; E-mail: bouayedkenza@ hotmail.com","PeriodicalId":165718,"journal":{"name":"Rheumatology and Orthopedic Medicine","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130184480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Refractory soft tissue pains-A case report of tumor induced osteomalacia 难治性软组织疼痛-肿瘤性骨软化1例报告

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/rom.1000190

Asna Shaikh, R. Samant

引用次数: 0

The lower limb amputation to a child following a road traffic accident 道路交通事故导致一名儿童下肢截肢

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/rom.1000188

V. Marina, Mihaela Anghele, L. Dragomir, Aurelian-Dumitrache Anghele, I. Stefanopol, D. Ciortea

引用次数: 0

The lag time from symptoms onset of rheumatoid arthritis to initiation of Methotrexate: data from the Moroccan register of biotherapies 从类风湿性关节炎症状发作到开始使用甲氨蝶呤的滞后时间:来自摩洛哥生物疗法登记的数据

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/ROM.1000182

M. Eddaoudi, S. Rostom, I. Hmamouchi, I. Binoune, B. Amine, R. Abouqal, L. Achemlal, F. Allali, I. Bouchti, A. Maghraoui, I. Ghozlani, H. Hassikou, T. Harzy, L. Ichchou, O. Mkinsi, R. Niamane, R. Bahiri

{"title":"The lag time from symptoms onset of rheumatoid arthritis to initiation of Methotrexate: data from the Moroccan register of biotherapies","authors":"M. Eddaoudi, S. Rostom, I. Hmamouchi, I. Binoune, B. Amine, R. Abouqal, L. Achemlal, F. Allali, I. Bouchti, A. Maghraoui, I. Ghozlani, H. Hassikou, T. Harzy, L. Ichchou, O. Mkinsi, R. Niamane, R. Bahiri","doi":"10.15761/ROM.1000182","DOIUrl":"https://doi.org/10.15761/ROM.1000182","url":null,"abstract":"Objective: The purpose of this study is to determine the time between the onset of rheumatoid arthritis (RA) symptoms and the introduction of methotrexate, as well as the associated factors. Methods: A multicenter cross-sectional study that included data from the Moroccan register of biologic patients with rheumatoid arthritis. Sociodemographic, economic patient data and disease data were collected. A logistic regression was performed to determine the factors that are associated with the change in the delay between the onset of symptoms and the initiation of cDMARD. Results: A total of 225 RA patients were included. The mean age was 51 ± 11 years, with a female predominance of 88% (n=197). The diagnosis lag time was 12 months (12-48). Seventy-three percent of the cases were housewives. Seventy-nine percent of patients received Methotrexate as the first CDMARDS. Salazopyrine was the second prescribed CDMARDS with 7%. Hydroxychloroquine was the third prescribed cDMARDs which 2.2%. The median lag time from symptoms onset to initiation of Methotrexate was 24 months (0.16-71). The factors, associated with the change in the delay between the onset of symptoms and the introduction of methotrexate in univariate analysis, were delay in diagnosis and corticosteroids Taking (p<0.05), only the delay of diagnosis in multivariate analysis persists p=0.0001. Conclusions: Our study suggests that there is a significant delay between diagnosis and the introduction of methotrexate as a first line cDMARDs. In multivariate analysis only the time to diagnosis was associated with the time to start methotrexate.","PeriodicalId":165718,"journal":{"name":"Rheumatology and Orthopedic Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115581981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Economical aspects of intraoperative blood loss in a large spinal surgical ward in 2018 2018年某大型脊柱外科病房术中出血量的经济分析

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/ROM.1000184

D. Schwetje

{"title":"Economical aspects of intraoperative blood loss in a large spinal surgical ward in 2018","authors":"D. Schwetje","doi":"10.15761/ROM.1000184","DOIUrl":"https://doi.org/10.15761/ROM.1000184","url":null,"abstract":"Background: Major procedures in spine are accompanied by elevated intraoperative blood loss which often results in the need of blood transfusions. A prolonged hospital stays as well as at the intensive care unit are cost-sensible factors. Purpose: The aim of this study was to determine a possible correlation between the intraoperative blood loss and the duration of the intensive care unit treatment, and the overall hospital stay. Patients and Methods: This study presents a retrospective analysis of 253 patients treated in our spine surgical ward in 2018. To analyse a possible correlation the tests of Pearson’s, Spearman rho’s and Kendall-Tau-b’s were used. Results: The intraoperative blood loss showed a significant correlation towards the duration on the intensive care unit (ICU) in both Spearman’s rho and Kendall Tau-b’s. Analysis of the correlation between intraoperative blood loss and overall length of hospital stay using Pearson’s showed a direct correlation with a correlation coefficient of 0.155. Conclusions: This study shows a correlation between intraoperative blood loss both with the duration of intensive care unit treatment and the overall hospital stay which illustrates the financial impact of elevated intraoperative blood loss. of evidence:","PeriodicalId":165718,"journal":{"name":"Rheumatology and Orthopedic Medicine","volume":"47 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114111656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Achilles tendon rupture to a child 儿童跟腱断裂

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/rom.1000185

Aurelian-Dumitrache Anghele, V. Marina

引用次数: 0

Metallosis, an important side effect after hip arthroplasty 金属病，髋关节置换术后的一个重要副作用

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/rom.1000186

Florentin Dimofte, V. Marina

引用次数: 0

Progress and prospects of biologics and small molecules for the treatment of patients with systemic lupus erythematosus 生物制剂和小分子治疗系统性红斑狼疮的进展与展望

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/rom.1000189

Xiaoquan Wei, Huaxiang Liu

引用次数: 0

Clinical outcome of photoactivated platelet-rich plasma in the treatment of knee osteoarthritis 光活化富血小板血浆治疗膝骨关节炎的临床疗效

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/ROM.1000162

Mohiuddin Akm, P. Lewis, Choudhury Kn, Sadiq Bu

{"title":"Clinical outcome of photoactivated platelet-rich plasma in the treatment of knee osteoarthritis","authors":"Mohiuddin Akm, P. Lewis, Choudhury Kn, Sadiq Bu","doi":"10.15761/ROM.1000162","DOIUrl":"https://doi.org/10.15761/ROM.1000162","url":null,"abstract":"Introduction: Osteoarthritis (OA) of the knee is the most common chronic degenerative joint diseases affecting the quality of life of patients. Pain and loss of function are the main clinical features that lead to treatment. For middle-aged and older patients with earlier stages of OA, conservative nonsurgical interventions have been proposed to treat the painful joint. More recently, platelet-rich plasma (PRP), a biological therapy, has become a treatment option to improve the status of the joint for patients with OA. The present study evaluated the clinical outcome of photoactivated platelet–rich plasma (PA-PRP) in patients with chronic knee osteoarthritis. Methods: A total of 232 patients with knee osteoarthritis, aged between 40-70 years were enrolled and treated in the present study and intervention for twelve months. The patients fulfilled the American College of Rheumatology (ACR) criteria for knee OA. The Western Ontario and McMaster Universities OA index (WOMAC) Questionnaires were used for outcome measurement. Results were evaluated after 12 months of intervention. Results: Female and male patients were 66.8% and 33.2% respectively. Mean age and SD of the patients were 55.69 (± 9.09) and 56.19 (± 9.09) respectively. The mean (SD) score of pain, stiffness and physical function during the 1st visit before treatment were 6.74 (± 3.00), 2.16 (± 1.85) and 22.30 (± 9.17) and after showed 2.44(± 1.66), 0.60 (± 0.74) and 8.84 (± 4.20) respectively. The total mean WOMAC scores during the first visit and after treatment were 31.21 (± 12.19) and 11.82 (± 5.65) respectively. The total score of reduction was statistically significant after treatment (p=0.00). The principal findings of the study were that the mean WOMAC score reduced and there was improved pain, stiffness and functional capacity of patients with knee OA. Conclusion: In conclusion, treatment with PA-PRP for patients with knee osteoarthritis produced beneficial effects in terms of clinical outcomes. These results suggested that PA-PRP might be a valuable therapeutic agent for knee osteoarthritis in Bangladesh. *Correspondence to: Choudhury KN, National Centre for Control of Rheumatic Fever and Heart Disease, Bangladesh, Tel: 8801711359459; E-mail: c.kamrun2014@gmail.com","PeriodicalId":165718,"journal":{"name":"Rheumatology and Orthopedic Medicine","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131132886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Characteristics of intestinal Behçet's Disease and the comparison of different medications 肠道behaperet病的特点及不同药物的比较

Rheumatology and Orthopedic Medicine Pub Date : 1900-01-01 DOI: 10.15761/rom.1000163

Hanjiang Zeng, Jun Zhou, Yu Wang, Yiming Liu, F. Lian

{"title":"Characteristics of intestinal Behçet's Disease and the comparison of different medications","authors":"Hanjiang Zeng, Jun Zhou, Yu Wang, Yiming Liu, F. Lian","doi":"10.15761/rom.1000163","DOIUrl":"https://doi.org/10.15761/rom.1000163","url":null,"abstract":"Objective: To evaluate the clinical characteristics of gastrointestinal Behcet’s disease in a cohort of South China and compare the efficacy of different medications. Method: We retrospectively revised the medical record of a cohort of BD patients admitted to the first affiliated university hospital of Sun Yat-sen University between January 2005 and March 2017. Demographic information, gastrointestinal symptoms and extra-intestinal manifestations, laboratory findings, disease activity index (DAIBD), imaging characteristics and managements were documented. Results: Records of 1648 Behcet’s disease cases were reviewed, of which, 187 cases were diagnosed of intestinal BD. Intestinal BD was more commonly found in male (73.3%) and male showed a significantly higher rate of gastrointestinal haemorrhage. Higher frequency of eye involvements and musculoskeletal involvements, less skin lesions were noted in the intestinal BD group. Abdominal pain and abdominal distension were the most common symptoms observed. Ileal/Ileocecal region was the most commonly affected under endoscopy. Mesenteric vessel lesions were not frequently detected but associated with poor prognosis. Most intestinal BD cases could be controlled with corticosteroid and immunosuppressors. CTX showed longer recurrence duration than AZA or MTX as maintenance therapy. Conclusion: Intestinal Behcet’s diseases could be difficult to diagnosis and associated with severe complications. Male is more commonly involved and had higher rate of severe complications. Mesenteric vessel lesions were not frequently detected but associated with poor prognosis. Corticosteroids, immunosuppressants and TNF blockers were effective for most patients. As maintenance therapy, CTX was more effective than AZA or MTX. *Correspondence to: Fan Lian, Department of Rheumatology & Clinical Immunology, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China, Tel: 008613922263595; E-mail: lianfan_l@hotmail.com","PeriodicalId":165718,"journal":{"name":"Rheumatology and Orthopedic Medicine","volume":"139 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131746634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0