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Revue du rhumatisme (English ed.)最新文献

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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
{"title":"Rheumatology in Italy at the threshold of the year 2000.","authors":"L Punzi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"278-80"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248499","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
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
{"title":"Hydatid cyst of the sacrum. Report of a case.","authors":"A Akhaddar,&nbsp;H Gourinda,&nbsp;Z el Alami,&nbsp;T el Madhi,&nbsp;A Miri","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>An unusual case of hydatid cyst of the sacrum revealed by low back pain and sciatica in a 16-year-old is reported. Computed tomography and a surgical biopsy provided the diagnosis. The outcome was favorable one year after mebendazole therapy initiation.</p>","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"289-91"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248502","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
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,&nbsp;J Glemarec,&nbsp;Y Laborie,&nbsp;S Varin,&nbsp;Y Maugars","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To identify medical and nonmedical reasons for admission of disk-related sciatica patients.</p><p><strong>Patients and methods: </strong>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.</p><p><strong>Results: </strong>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%).</p><p><strong>Conclusion: </strong>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.</p>","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}
引用次数: 0
Neuropathic arthropathy: a forgotten diagnosis? Two recent cases involving the hip. 神经性关节病:被遗忘的诊断?最近的两个病例涉及髋部。
Revue du rhumatisme (English ed.) Pub Date : 1999-05-01
P Martinet, P M'Bappé, C Lebreton, O Heinzleff, M Sibony, C Papeix, T Judet
{"title":"Neuropathic arthropathy: a forgotten diagnosis? Two recent cases involving the hip.","authors":"P Martinet,&nbsp;P M'Bappé,&nbsp;C Lebreton,&nbsp;O Heinzleff,&nbsp;M Sibony,&nbsp;C Papeix,&nbsp;T Judet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Two cases of neuropathic arthropathy of the hip are reported. One was the first manifestation of tabes dorsalis in a 74-year-old man, whereas the second occurred in a 47-year-old woman with a history of spina bifida and L2-L5 epidural lipoma. Radiographic joint destruction occurred within five and three months, respectively. The main clinical and radiological features of neuropathic arthropathy are reviewed, and diagnostic pitfalls are discussed. There are no specific laboratory tests or histologic findings. This now rare condition should be routinely considered in patients with severe joint destruction contrasting with minimal pain. The reasons for the decision to use trochanteric-iliac coaptation in one of our patients and a wait-and-see approach in the other are explained. The literature is reviewed. Ten cases treated by joint replacement have been reported. However, neither joint replacement nor arthrodesis seem capable of restoring satisfactory hip function.</p>","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"284-7"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248501","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
Is the WHO analgesic ladder for cancer pain management appropriate for rheumatology patients? WHO癌症疼痛管理镇痛阶梯适用于风湿病患者吗?
Revue du rhumatisme (English ed.) Pub Date : 1999-05-01
B Bannwarth
{"title":"Is the WHO analgesic ladder for cancer pain management appropriate for rheumatology patients?","authors":"B Bannwarth","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"241-4"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248595","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
Relationship of rheumatoid factor isotype levels with joint lesions detected by magnetic resonance imaging in early rheumatoid arthritis. 类风湿因子同型水平与早期类风湿关节炎磁共振检测关节病变的关系。
Revue du rhumatisme (English ed.) Pub Date : 1999-05-01
M Di Franco, A Spadaro, M T Mauceri, A Cortese, R Guerrisi, A Ciocci
{"title":"Relationship of rheumatoid factor isotype levels with joint lesions detected by magnetic resonance imaging in early rheumatoid arthritis.","authors":"M Di Franco,&nbsp;A Spadaro,&nbsp;M T Mauceri,&nbsp;A Cortese,&nbsp;R Guerrisi,&nbsp;A Ciocci","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the relationship between rheumatoid factor isotypes and articular damage detected by magnetic resonance imaging and plain radiography in early rheumatoid arthritis.</p><p><strong>Methods: </strong>20 consecutive patients with early active rheumatoid arthritis underwent determinations of serum IgM, IgA, and IgG rheumatoid factors by enzyme-linked immunosorbent assay (ELISA). Plain radiographs of the hands and wrists were obtained, and the wrist, metacarpophalangeal joints, and proximal interphalangeal (PIP) joints on the more severely affected side were investigated by magnetic resonance imaging before and after gadolinium-DTPA injection.</p><p><strong>Results: </strong>IgM, IgA, and IgG rheumatoid factors were found in 13 (65%), 13 (65%), and 15 (75%) of patients, respectively. Sera from five patients (25%) contained no detectable rheumatoid factor isotypes. Correlations were found among the levels of the three rheumatoid factor isotypes. Levels of IgA, IgG, and IgM rheumatoid factor were significantly higher in patients with than without erosions on magnetic resonance imaging scans. No such difference was found when patients with and without erosions on plain radiographs were compared. Magnetic resonance imaging detected soft tissue lesions more frequently than plain radiography. Magnetic resonance imaging was also more likely than plain radiography to show bone erosions and bone cysts, but this difference was not statistically significant.</p><p><strong>Conclusions: </strong>Quantitative rheumatoid factor isotype assays and magnetic resonance imaging evaluation of erosions of the hand and wrist may be useful for investigating patients with early rheumatoid arthritis.</p>","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"251-5"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248495","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 case of Schnitzler's syndrome with nodular regenerative hyperplasia of the liver. Schnitzler综合征伴肝结节性再生增生1例。
Revue du rhumatisme (English ed.) Pub Date : 1999-05-01
A Lauwers, V Chouvy, J F Mosnier, L Misery, C Alexandre
{"title":"A case of Schnitzler's syndrome with nodular regenerative hyperplasia of the liver.","authors":"A Lauwers,&nbsp;V Chouvy,&nbsp;J F Mosnier,&nbsp;L Misery,&nbsp;C Alexandre","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Schnitzler's syndrome is a rare condition of urticaria, macroglobulinemia, and sclerotic bone lesions. We report a case in a 70-year-old man in whom inflammatory polyarthralgia was followed by a nonpruritic urticarial eruption with a moderate decline in general health. Laboratory tests showed inflammation and a modest isolated peak of monoclonal IgM kappa. There was no evidence of Waldenström macroglobulinemia. Schnitzler's syndrome was considered. However, an ultrasound scan of the abdomen done because of mild gamma-glutamyl-transferase elevation disclosed multiple hepatic lesions. The liver histology showed incipient nodular regenerative hyperplasia. Only about 30 cases of Schnitzler's syndrome have been reported since the seminal description in 1972. Hepatic involvement was a common but nonspecific finding, and we found no cases with nodular regenerative hyperplasia. However, this abnormality is often found in patients with autoimmune or hematological disorders. The pathogenesis of Schnitzler's syndrome remains unknown, but the possibility of progression to a hematological malignancy requires prolonged follow-up.</p>","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"281-3"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248500","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
Primary synovial osteochondromatosis of the hand and wrist. Report of a series of 21 cases and literature review. 手部和手腕的原发性滑膜骨软骨瘤病。21例系列病例报告及文献复习。
Revue du rhumatisme (English ed.) Pub Date : 1999-05-01
E Roulot, D Le Viet
{"title":"Primary synovial osteochondromatosis of the hand and wrist. Report of a series of 21 cases and literature review.","authors":"E Roulot,&nbsp;D Le Viet","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>To define the characteristics of synovial osteochondromatosis of the hand and wrist.</p><p><strong>Patients and methods: </strong>Retrospective study of 21 patients, including 11 with intraarticular and 10 with tenosynovial disease. Cases secondary to degenerative joint disease were excluded. Surgery consisted in removal of the osteocartilaginous bodies and of the adjacent synovial membrane. Mean follow-up was seven years (range, three to 18 years). The relevant literature was reviewed in part.</p><p><strong>Results: </strong>Recurrence was seen in four patients and was multiple in two of these four. Most recurrences occurred within five to ten years after surgery. All four patients with recurrences had intraarticular disease. No cases of malignant transformation were seen. The characteristics of synovial osteochondromatosis at the hand and wrist are reviewed.</p><p><strong>Conclusion: </strong>Detailed preoperative investigations including computed arthrotomography and magnetic resonance imaging should be performed to increase the likelihood of complete excision.</p>","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"256-66"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248496","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
Morphine in nonmalignant joint pain. Physiological rationale, value, and limitations. 吗啡治疗非恶性关节疼痛。生理学原理、价值和局限性。
Revue du rhumatisme (English ed.) Pub Date : 1999-05-01
S Perrot
{"title":"Morphine in nonmalignant joint pain. Physiological rationale, value, and limitations.","authors":"S Perrot","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"271-7"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248498","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
Sarcoid tenosynovitis. Report of a case. 肉质的腱鞘炎。报告一个病例。
Revue du rhumatisme (English ed.) Pub Date : 1999-05-01
S el Hassani, F Allali, N Lazrak, N Hajjaj-Hassouni
{"title":"Sarcoid tenosynovitis. Report of a case.","authors":"S el Hassani,&nbsp;F Allali,&nbsp;N Lazrak,&nbsp;N Hajjaj-Hassouni","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 5","pages":"296-7"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21248504","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
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