Revue du rhumatisme (English ed.)最新文献_第3页

Effect of multiple intravenous pamidronate courses in Paget's disease of bone. 多次静脉注射帕米膦酸钠治疗骨佩吉特病的疗效。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

A Trombetti, M Arlot, J Thevenon, B Uebelhart, P J Meunier

{"title":"Effect of multiple intravenous pamidronate courses in Paget's disease of bone.","authors":"A Trombetti, M Arlot, J Thevenon, B Uebelhart, P J Meunier","doi":"","DOIUrl":"","url":null,"abstract":"Background: Pamidronate is a bisphosphonate whose short-term biological efficacy in Paget's disease of bone was convincingly established many years ago. A less well studied area is the efficacy of pamidronate in slowing disease progression and in preventing and treating complications.Material and methods: We conducted an uncontrolled retrospective study of 79 Paget's disease patients given multiple intravenous pamidronate courses over a mean period of 45 +/- 19 months. The pamidronate dose per course was 180 mg, usually given over three days. The disease was severe and in some cases had proved refractory to other medications. Reasons for pamidronate therapy were pain or other subjective symptoms; established bone, joint, or nervous system complications; or prevention or these complications in patients with involvement of high-risk sites.Results: Bone and joint pain improved under therapy, and in 78% of cases the outcome in terms of complication treatment and/or prevention was favorable. An important finding was waning of the clinical and biological effects of pamidronate as the number of courses increased. Fourteen percent of patients developed resistance to pamidronate, which seemed more closely related to disease extension than to focal lesion activity.Conclusion: These data suggest that a prompt return to normal of laboratory markers, most notably total alkaline phosphatase, should be sought, if needed by using higher doses than in our study.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 10","pages":"467-76"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21426532","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

Autosomal dominant recurrent fevers. Clinical and genetic aspects. 常染色体显性反复发热。临床和遗传方面。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

M F McDermott

引用次数: 0

Alternaria infection of the skin and joints. A report of two cases involving the hand. 皮肤和关节的交替感染。报告了两起涉及手部的案件。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

E Lespessailles, R Kerdraon, P Michenet, J P Barthez, C Mille, C L Benhamou

引用次数: 0

Bisphosphonates in rheumatoid arthritis (osteoporosis excluded). 双膦酸盐治疗类风湿性关节炎(骨质疏松除外)。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

J F Maillefert, J Sibilia, P Bertin, C Tavernier

引用次数: 0

Acromioclavicular joint subluxation is rare in rheumatoid arthritis. A radiographic 15-year study. 肩锁关节半脱位在类风湿关节炎中很少见。一项为期15年的放射学研究。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

J T Lehtinen, M U Lehto, K Kaarela, E A Belt, H J Kautiainen, M J Kauppi

{"title":"Acromioclavicular joint subluxation is rare in rheumatoid arthritis. A radiographic 15-year study.","authors":"J T Lehtinen, M U Lehto, K Kaarela, E A Belt, H J Kautiainen, M J Kauppi","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To conduct a radiographic assessment of the occurrence of the acromioclavicular joint subluxation in patients with long-standing rheumatoid arthritis.Methods: A cohort of 74 patients with seropositive rheumatoid arthritis was followed prospectively for 15 years. At the 15-year visit, plain radiographs of both shoulders (n = 148) were obtained using a standard method. Acromioclavicular joint destruction was evaluated using Larsen's method, and radiographic subluxation was measured on the radiographs using two different methods. In one of these methods (method A), the distance between the upper edge of the coracoid process and the upper surface of the clavicle was measured. The other method (method B) involved measurement of the alignment of the upper joint margins of the acromion and clavicle.Results and conclusion: Two of the 148 acromioclavicular joints fulfilled criteria for subluxation with method B. Neither measurement A nor measurement B differed significantly between unaffected joints (Larsen's grade 0 or 1) and affected joints (Larsen's grade > or = 2). In addition, neither measurement was correlated with the stage of acromioclavicular joint destruction (r < 0.10 for both measurements). Measurements A and B were significantly correlated to each other (r = 0.23; 95% CI, 0.07 to 0.38). The two subluxations (one upward and one downward) occurred among the nine joints with the most severe destructive lesions (Larsen's grade 5). In conclusion, acromioclavicular joint subluxation is rare in rheumatoid arthritis, occurring only when destruction of the joint is severe. The method B used in this study may prove useful for both population studies and routine clinical work.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 10","pages":"462-6"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21426531","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

Elbow arthritis: a rare inaugural manifestation of acute leukemia. 肘关节关节炎:急性白血病的罕见首发表现。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

R Cimaz, A Lippi, F Falcini

引用次数: 0

Bone mineral density in patients with peripheral psoriatic arthritis. 周围性银屑病关节炎患者的骨密度。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

J M Nolla, J Fiter, A Rozadilla, C Gomez-Vaquero, L Mateo, J Rodriguez-Moreno, D Roig-Escofet

{"title":"Bone mineral density in patients with peripheral psoriatic arthritis.","authors":"J M Nolla, J Fiter, A Rozadilla, C Gomez-Vaquero, L Mateo, J Rodriguez-Moreno, D Roig-Escofet","doi":"","DOIUrl":"","url":null,"abstract":"Background: Little information is available on the occurrence of generalized osteopenia in psoriatic arthritis. The only two published studies of bone mass in psoriatic arthritis produced conflicting results.Methods: We compared bone mineral density measured at the lumbar spine and femoral neck using dual-energy X-ray absorptiometry in 52 patients with active peripheral psoriatic arthritis and in 52 controls. The psoriatic arthritis group included 19 males, 14 premenopausal women, and 19 post-menopausal women. Controls were matched to the patients on sex, age, and menopausal status.Results: In the overall study population no significant differences were found between psoriatic arthritis patients and controls. Postmenopausal psoriatic arthritis patients had a lower femoral neck bone mineral density than the relevant subgroup of controls. No significant differences in lumbar spine bone mineral density were found in the analyses of the male, premenopausal female, and postmenopausal female subgroups. Neither was femoral neck density significantly different between male or premenopausal female psoriatic arthritis patients and controls.Conclusion: These results suggest that peripheral psoriatic arthritis is not associated with significant generalized bone loss.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 10","pages":"457-61"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21426530","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

A back school program at the Toulouse-Purpan teaching hospital. Evaluation of 144 patients. 图卢兹-珀潘教学医院的后备学校项目。144例患者的评估。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

L Porteau-Cassard, L Zabraniecki, C Dromer, B Fournié

{"title":"A back school program at the Toulouse-Purpan teaching hospital. Evaluation of 144 patients.","authors":"L Porteau-Cassard, L Zabraniecki, C Dromer, B Fournié","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: This article reports our experience with a five-day back school program focusing on active exercises, safe lifting, and occupational therapy.Patients and methods: The medical charts of 144 back school patients were reviewed retrospectively. Age, gender, type of low back pain, radiological findings, impact on work and psychological well-being, surgical history, and history of prior back school experience were recorded on the first and last back school session days (D1 and D5), after six months (M6), and after 12 months (M12). Efficacy was evaluated based on the number of days off work, Schöber's index, a visual analog scale pain score, and scores evaluating the active exercise, safe lifting, and occupational therapy techniques taught during the back school course.Results: All evaluation scores were significantly better on D5 than on D1. This effect was sustained over time. The pain score fell by 50% between D1 and D5 (32.6 +/- 23.1 versus 16.3 +/- 18.5) and remained low at M6 and M12 (18.1 +/- 19.5 and 14.8 +/- 19.3) The number of days off work fell dramatically from baseline to M6 (51.2 +/- 63.8 vs 9.8 +/- 38.8) and remained low at M12. Forty-four patients were lost-to-follow-up between D5 and M6.Conclusion: Back school interventions are helpful in preventing recurrences of low back pain. Our promising data deserve to be confirmed in a larger study involving quality of life assessments, determination of the number of physician visits for low back pain during the M0-M6 and M6-M12 periods, and a comprehensive evaluation after 18 months.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 10","pages":"477-83"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21426533","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

The history of chronic joint diseases in children. 儿童慢性关节疾病的病史。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

F Hayem

引用次数: 0

Contribution of magnetic resonance imaging to the diagnosis of extraskeletal Ewing's sarcoma. 磁共振成像对骨骼外尤文氏肉瘤诊断的贡献。

Revue du rhumatisme (English ed.) Pub Date : 1999-10-01

M H Guyot-Drouot, A Cotten, R M Flipo, M Lecomte Houcke, B Delcambre

引用次数: 0