Reumatismo最新文献_第8页

Eosinophilic granulomatosis with polyangiitis: sequential use of mepolizumab following rituximab for inadequate asthma control despite vasculitis remission. 嗜酸性粒细胞肉芽肿伴多血管炎：在利妥昔单抗治疗血管炎缓解但哮喘控制不佳的情况下，连续使用美妥珠单抗。

IF 1.4

Reumatismo Pub Date : 2023-12-19 DOI: 10.4081/reumatismo.2023.1588

B Cremonezi Lammoglia, L De Aguiar Trevise, T Paslar Leal, M Pereira Lopes Vieira Pinto, G Hasselmann, N Salles Rosa Neto

引用次数: 0

Lumbosacral pain in a patient with psoriatic arthritis: when the rheumatic disease is innocent. 银屑病关节炎患者的腰骶部疼痛：当风湿病是无辜的。

IF 1.4

Reumatismo Pub Date : 2023-12-19 DOI: 10.4081/reumatismo.2023.1565

H Parente, M Pontes Ferreira, C Soares, F Guimarães, S Azevedo, D Santos-Faria, J Tavares-Costa, D Peixoto, C Afonso, D Roriz, F Teixeira

引用次数: 0

Janus kinase inhibitors: between prescription authorization and reimbursability. Janus 激酶抑制剂：处方授权与报销之间的关系。

IF 1.4

Reumatismo Pub Date : 2023-12-19 DOI: 10.4081/reumatismo.2023.1627

F R Spinelli, F Conti, R Caporali, F Iannone, F Cacciapaglia, On Behalf Of The Steering Committee Of The Italian Society Of Rheumatology

引用次数: 0

Acquired hemophilia A treated with rituximab in a 62-year-old female with rheumatoid arthritis: a case-based review. 一名患有类风湿性关节炎的 62 岁女性用利妥昔单抗治疗获得性血友病 A：病例回顾。

IF 1.4

Reumatismo Pub Date : 2023-12-19 DOI: 10.4081/reumatismo.2023.1585

D Mohamadzadeh, S Assar, F Farsad

引用次数: 0

Can restless legs be a sign of something else? A case report of spondyloarthritis presenting with restless legs syndrome and a review of the literature. 不安腿会是其他疾病的征兆吗？脊柱关节炎伴有不安腿综合征的病例报告及文献综述。

IF 1.4

Reumatismo Pub Date : 2023-12-19 DOI: 10.4081/reumatismo.2023.1557

E Yılmaz

{"title":"Can restless legs be a sign of something else? A case report of spondyloarthritis presenting with restless legs syndrome and a review of the literature.","authors":"E Yılmaz","doi":"10.4081/reumatismo.2023.1557","DOIUrl":"10.4081/reumatismo.2023.1557","url":null,"abstract":"Restless legs syndrome (RLS) is a chronic movement disorder characterized by an urge or need to move the limbs, usually associated with uncomfortable sensations in the legs and sleep disorders. In general, two clinical forms of RLS are described: primary and secondary. Although primary RLS has a familial component, the underlying mechanism is still not fully understood but seems to be related to abnormalities in the dopaminergic and glutamatergic pathways of the central nervous system. The secondary forms of the syndrome are associated with iron deficiency, renal failure, pregnancy, diabetes mellitus, peripheral neuropathy, and several rheumatologic disorders such as rheumatoid arthritis and Sjögren's syndrome. In a few clinical trials, an increased frequency of RLS has been reported in patients with spondyloarthritis. In this report, a case of coexistence of spondyloarthritis and RLS is presented, showing satisfactory improvement with conservative treatment and additionally adding naproxen. Anemia of chronic disease occurring in rheumatic diseases, and associated iron deficiency may contribute to the development of RLS.","PeriodicalId":21222,"journal":{"name":"Reumatismo","volume":"75 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138808584","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

Polymyositis following varicella and mumps infection in adults: report of two cases. 成人水痘和流行性腮腺炎感染后的多发性肌炎：两个病例的报告。

IF 1.4

Reumatismo Pub Date : 2023-12-19 DOI: 10.4081/reumatismo.2023.1562

F Masini, K Gjeloshi, E Pinotti, R Ferrara, C Romano, G Cuomo

{"title":"Polymyositis following varicella and mumps infection in adults: report of two cases.","authors":"F Masini, K Gjeloshi, E Pinotti, R Ferrara, C Romano, G Cuomo","doi":"10.4081/reumatismo.2023.1562","DOIUrl":"10.4081/reumatismo.2023.1562","url":null,"abstract":"Idiopathic immune myopathies (IIMs) are autoimmune diseases caused by immune-mediated muscle damage. The etiology remains unclear. Epidemiological and experimental studies, both in animals and humans, hint at viruses as major environmental factors able to trigger aberrant immune responses through many different mechanisms. However, only a few cases of either dermatomyositis or polymyositis following a specific viral infection have been reported in the literature. The objective of this study is to describe the clinical features and the treatment strategy of 2 cases of polymyositis developing shortly after chickenpox and mumps, respectively, and to review the existing literature on the topic. The clinical records of the 2 patients suspected to have developed inflammatory myositis following a viral infection were reviewed. Their clinical history, main laboratory findings, and treatment outcome are presented here. Moreover, a literature search was performed in the PubMed and MEDLINE databases to identify reports describing the association between viral infections and IIMs in patients aged ≥18. The 2 patients reported here developed polymyositis shortly after chickenpox and mumps, respectively, suggesting a causal role for viruses in triggering autoimmunity. Only a few reports published between 1990 and 2020 were found in the literature, possibly linking infections to myositis development. Intravenous immunoglobulin and rituximab were effective for the treatment of viral-triggered polymyositis.","PeriodicalId":21222,"journal":{"name":"Reumatismo","volume":"75 4","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138808610","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

Eosinophilic fasciitis in a young male auto mechanic exposed to organic solvents. 年轻男性汽车修理工接触有机溶剂致嗜酸性筋膜炎。

IF 1.4

Reumatismo Pub Date : 2023-09-18 DOI: 10.4081/reumatismo.2023.1539

A M Treichel, D X Zheng, G C Ranasinghe, A S Zeft, W F Bergfeld, C B Bayart

引用次数: 0

Response to: myositis after SARS-CoV-2 vaccination occurs more frequently than assumed and is probably causally related. 对SARS-CoV-2疫苗接种后肌炎的反应比假设的更频繁，并可能有因果关系。

IF 1.4

Reumatismo Pub Date : 2023-09-18 DOI: 10.4081/reumatismo.2023.1623

H Quiñones-Moya, A Camargo-Coronel, M R Hernández-Zavala

引用次数: 0

Discrepancies between clinical and pathological findings seen at renal biopsy in rheumatological diseases. 风湿病肾活检临床与病理结果的差异。

IF 1.4

Reumatismo Pub Date : 2023-09-18 DOI: 10.4081/reumatismo.2023.1586

R Deniz, N Güner, Ş A Ekmen, I N Mutlu, D S Özgür, B Karaalioğlu, G Akkuzu, F Yıldırım, K Kalkan, G Güzelant-Özköse, B İnce, M Erdoğan, Y Özlük, I Kılıçaslan, C Bes

{"title":"Discrepancies between clinical and pathological findings seen at renal biopsy in rheumatological diseases.","authors":"R Deniz, N Güner, Ş A Ekmen, I N Mutlu, D S Özgür, B Karaalioğlu, G Akkuzu, F Yıldırım, K Kalkan, G Güzelant-Özköse, B İnce, M Erdoğan, Y Özlük, I Kılıçaslan, C Bes","doi":"10.4081/reumatismo.2023.1586","DOIUrl":"https://doi.org/10.4081/reumatismo.2023.1586","url":null,"abstract":"Objective: Renal biopsy contributes to the diagnosis, follow-up, and treatment of many rheumatic conditions. This study assessed the diagnostic role and safety of renal biopsies in a tertiary rheumatology clinic.Methods: Renal biopsies performed between June 2020 and December 2022 were screened, and demographic, clinical, histopathological, and safety data were collected from patient records.Results: In this study, 33 males and 38 females were included. Except for 1 patient who received acetylsalicylic acid, antiaggregant, and/or anticoagulant drugs were stopped before the biopsy. Complications included a decrease of hemoglobin in 8 patients (11.3%) and microscopic hematuria in 40 patients (56.3%). Control ultrasonography was performed in 16 patients (22.5%), and a self-limiting hematoma was found in 4 of them (5.6%) without additional complications. While less than 10 glomeruli were obtained in 9 patients (9.9%), diagnosis success was 94.4%. Histopathological data were consistent with one of the pre-biopsy diagnoses in 54 of 67 cases (80.6%) but showed discrepancies in 19.4% (n=13) of patients. A repeat biopsy was performed in 7 patients for re-staging or insufficient biopsy.Conclusions: Renal biopsy significantly contributes to rheumatology practice, especially in patients with complex clinical and laboratory findings or in whom different treatments can be given according to the presence, severity, and type of renal involvement. Although the possibility of obtaining insufficient tissue and the need for re-staging and repeat biopsy in the follow-up might be expected, complication risk does not seem to be a big concern. Renal biopsy often evidenced discrepancies between pre-biopsy diagnosis and histopathological findings.","PeriodicalId":21222,"journal":{"name":"Reumatismo","volume":"75 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10307170","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

Efficacy of a gluten-free diet in reducing the widespread pain index and symptom severity scale in patients affected by fibromyalgia. 无麸质饮食在降低纤维肌痛患者普遍疼痛指数和症状严重程度量表中的疗效。

IF 1.4

Reumatismo Pub Date : 2023-09-18 DOI: 10.4081/reumatismo.2023.1530

V Bruzzese, C Marrese, P Scolieri, J Pepe

{"title":"Efficacy of a gluten-free diet in reducing the widespread pain index and symptom severity scale in patients affected by fibromyalgia.","authors":"V Bruzzese, C Marrese, P Scolieri, J Pepe","doi":"10.4081/reumatismo.2023.1530","DOIUrl":"https://doi.org/10.4081/reumatismo.2023.1530","url":null,"abstract":"Objective: Dietary interventions to improve fibromyalgia (FM) symptoms reported conflicting results. This study aimed to treat FM patients with a gluten-free diet (GFD), alternated with a non-restricted gluten-containing diet, followed by a rechallenge of the GFD.Methods: Twenty postmenopausal women with FM and no history of celiac disease participated. A GFD was assigned for 6 months. This was followed by 3 months of a non-restricted gluten-containing diet and then a new GFD for another 6 months. At each visit, the widespread pain index (WPI) and the symptom severity scale (SS) scores were evaluated.Results: The mean age of the patients enrolled was 53.9±10 years. None of the patients had a diagnosis of irritable bowel disease, although they reported vague gastrointestinal symptoms. After 6 months of a GFD, a statistically significant reduction was observed for the WPI (10.3±1.8 vs 7.7±1.4; p<0.0001) and the SS scale (6.4±1.8 vs 4.15±1.6; p=0.0002). The D percentage reduction of the WPI after 6 months of GFD was -24%±9%, while for the SS scale, it was -36%±21%. The following reintroduction of a gluten-containing diet brought about a statistically significant rise in the absolute SS scale and WPI, as well as a D modification of the WPI (21%±13%) and of the SS scale (74%±90%). The rechallenge of the GFD showed a significant improvement in absolute and D WPI (-24%±7%) and SS (-36%±11%). No modifications to the body mass index were found.Conclusions: A GFD improved FM symptoms evaluated with WPI and SS. This was confirmed for the first time, also with a rechallenge of the GFD that followed a non-restricted gluten-containing diet.","PeriodicalId":21222,"journal":{"name":"Reumatismo","volume":"75 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672546","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