Revue du rhumatisme (English ed.)最新文献_第6页

The number needed to be treated as a valuable parameter in interpreting clinical trial findings. 在解释临床试验结果时，这个数字需要作为一个有价值的参数来对待。

Revue du rhumatisme (English ed.) Pub Date : 1999-06-01

B Bannwarth

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Young age at onset, renal involvement, and arterial hypertension are of adverse prognostic significance in juvenile systemic lupus erythematosus. 发病年龄小、肾脏受累和动脉高血压对青少年系统性红斑狼疮的预后有不良影响。

Revue du rhumatisme (English ed.) Pub Date : 1999-06-01

R Marini, L T Costallat

{"title":"Young age at onset, renal involvement, and arterial hypertension are of adverse prognostic significance in juvenile systemic lupus erythematosus.","authors":"R Marini, L T Costallat","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To look for associations between mortality, clinical or laboratory data, and age at disease onset in systemic lupus erythematosus patients aged 16 years or younger at disease onset.Patients and methods: The medical records of patients seen at the Clinics Hospital, State University of Campinas, São Paulo, Brazil, between 1979 and 1995 were reviewed retrospectively. All 59 included patients (48F/11M) fulfilled four or more American College of Rheumatology criteria for systemic lupus erythematosus. Patients with discold, drug-induced or neonatal lupus, or other systemic connective tissue diseases were excluded. Patients were studied individually then classified in three groups based on age at disease onset, as follows: Group I, < or = 9 years of age; Group II, 10-14 years of age; and Group III, 15-16 years of age. Clinical and laboratory abnormalities and mortality were compared in the three groups.Results: The most frequent clinical manifestations were joint symptoms (91.5%), renal involvement (71.1%), malar rash (61%), alopecia (61%), fever (59.3%) and photosensitivity (52.5%). Laboratory findings included antinuclear antibody in 94.9% of cases. LE cells in 71.1%, low serum complement in 65.3%, anti-DNA in 63.4%, hematuria in 62.7%, and proteinuria in 61%. The mortality rate was 23.7% (9F/5M) overall, 18.7% in females, and 45.4% in males (P = 0.07). The cause of death was infection in eight patients (57.1% of decedents), central nervous system disease in five (35.7%), and renal insufficiency in one (7.2%). Disease onset before 15 years of age (P = 0.026), renal involvement (P = 0.03), and arterial hypertension (P = 0.002) were predictive of mortality. Mortality was not influenced by gender or race.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 6","pages":"303-9"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21284193","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}

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Sporadic ulcerative-mutilating acropathy of the foot. Features and therapeutic indications. 散发性溃疡致残性足端病变。特点及治疗指征。

Revue du rhumatisme (English ed.) Pub Date : 1999-06-01

L de Palma, S Carloni, S Rapali, A Ventura

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Pain in Parkinson's disease patients. 帕金森病患者的疼痛。

Revue du rhumatisme (English ed.) Pub Date : 1999-06-01

G Serratrice, B Michel

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Mechanisms of action of bisphosphonates. 二膦酸盐的作用机制。

Revue du rhumatisme (English ed.) Pub Date : 1999-06-01

V Breuil

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Lipoma arborescens of the knee. 膝关节树状脂肪瘤。

Revue du rhumatisme (English ed.) Pub Date : 1999-06-01

J Narváez, J A Narváez, R Ortega, A Juan-Mas, D Roig-Escofet

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Hemarthrosis of the ankle revealing an aneurysm of the anterior tibial artery. 踝关节出血，显露出胫骨前动脉的动脉瘤。

Revue du rhumatisme (English ed.) Pub Date : 1999-05-01

T Billey, F Marin, H Vidal, S Lassoued

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Rheumatology in Italy at the threshold of the year 2000. 2000年伊始，意大利的风湿病学。

Revue du rhumatisme (English ed.) Pub Date : 1999-05-01

L Punzi

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Hydatid cyst of the sacrum. Report of a case. 骶骨包囊。报告一个病例。

Revue du rhumatisme (English ed.) Pub Date : 1999-05-01

A Akhaddar, H Gourinda, Z el Alami, T el Madhi, A Miri

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Reasons for rheumatology department admission in 125 patients with disk-related sciatica. 125例椎间盘相关性坐骨神经痛患者风湿科住院原因分析。

Revue du rhumatisme (English ed.) Pub Date : 1999-05-01

J M Berthelot, J Glemarec, Y Laborie, S Varin, Y Maugars

{"title":"Reasons for rheumatology department admission in 125 patients with disk-related sciatica.","authors":"J M Berthelot, J Glemarec, Y Laborie, S Varin, Y Maugars","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To identify medical and nonmedical reasons for admission of disk-related sciatica patients.Patients and methods: 125 patients were evaluated prospectively using a 25-items questionnaire, including seven items on medical reasons, four on psychological reasons, four on work-related reasons, six on social and family reasons, and four on miscellaneous reasons.Results: Severe nerve root pain (34%), motor loss (17%), atypical clinical manifestations (13%), severe low back pain (8%), and/or sphincter dysfunction (4%) were recorded in only 55% of patients, and only 16% had at least two of these reasons. A minority of patients were admitted to avoid premature surgery (13%) or to try one more conservative approach prior to surgery (15%). Seventy-five per cent of patients reported at least one of the psychological reasons listed in the questionnaire (irritability/fatigue, 66%; anxiety, 42%; depression, 26%; panic disorder, 21%), 50% reported at least one work-related reason (workaholism, 21%; job offer, 16%; self-employed, 14%; fear of losing their job, 11%), 66% reported at least one social or family reason (living alone, 34%; one or more dependents younger than seven years of age, 32%; too many demands from household members, 22%; one or more dependents older than seven years of age, 8%; need to care for another person, 9%; important upcoming family or personal event, 6%), and 26% reported at least one miscellaneous reason (firm belief that sciatica can be cured only by inhospital treatment, 10%; desire to put pressure on the employer or on an expert, 7% and 6%, respectively; admission via the emergency room without prior medical advice, 6%).Conclusion: In France, the reason for admission of patients with disk-related sciatica is frequently a mixture of physical, psychological, and social problems, with only 55% of patients having a symptom requiring inhospital management.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"267-70"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248497","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}

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