Revue du rhumatisme (English ed.)最新文献_第9页

Long-term cyclosporin continuation rates in rheumatoid arthritis patients. 类风湿关节炎患者环孢素的长期延续率。

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

N Carpentier, P Bertin, M Druet-Cabanac, M Abdeddaïm, P Vergne, C Bonnet, R Trèves

引用次数: 0

Cystic rheumatoid arthritis with Felty's syndrome and ankylosing spondylitis. 囊性类风湿性关节炎伴费尔蒂综合征和强直性脊柱炎。

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

S Lecoules, A el Maghraoui, E Lapeyre, D Lechevalier, J Magnin, F Eulry

引用次数: 0

Evaluation of the efficacy of etidronate therapy in preventing glucocorticoid-induced bone loss in patients with inflammatory rheumatic diseases. A randomized study. 评价地替膦酸钠治疗预防炎症性风湿病患者糖皮质激素所致骨质流失的疗效。一项随机研究。

Revue du rhumatisme (English ed.) Pub Date : 1999-04-01

B Cortet, E Hachulla, I Barton, B Bonvoisin, C Roux

{"title":"Evaluation of the efficacy of etidronate therapy in preventing glucocorticoid-induced bone loss in patients with inflammatory rheumatic diseases. A randomized study.","authors":"B Cortet, E Hachulla, I Barton, B Bonvoisin, C Roux","doi":"","DOIUrl":"","url":null,"abstract":"The prevention and treatment of glucocorticoid-induced osteoporosis is a major concern for rheumatologists since inflammatory joint disease is among the most common reasons for long-term glucocorticoid therapy. We used a randomized placebo-controlled design to evaluate the efficacy of one-year cyclical etidronate therapy in preventing bone loss in 83 glucocorticoid-treated patients with rheumatoid arthritis, polymyalgia rheumatica, or giant cell arteritis. Glucocorticoid treatment duration was shorter than three months, and the starting dose was greater than 7.5 mg of prednisone-equivalent per day. Etidronate was given according to the standard cyclical schedule, i.e. 400 mg/d for periods of 14 days separated by 76-day intervals during which patients took 500 mg of supplemental calcium per day. The primary evaluation criterion was the change in lumbar spine bone mineral density after one year of etidronate therapy. Bone mineral density decreased by 1.94 +/- 0.61% in the placebo group and increased by 0.86 +/- 0.6% in the etidronate group, yielding a between-group difference of 2.8 +/- 0.86% (P = 0.002). The difference was largest in postmenopausal women (3.38 +/- 1.11%; P = 0.004). At the femoral neck, there was a smaller bone mineral density decrease in the etidronate than in the placebo group, but the difference (1.11 +/- 1.13%) was not statistically significant. The most common side effects were gastrointestinal symptoms and showed no difference between the two groups. Four fractures (including one vertebral fracture) occurred in the placebo group versus two (including one vertebral) in the etidronate group. Etidronate prevents glucocorticoid-induced lumbar spine bone loss in patients with rheumatoid arthritis, polymyalgia rheumatica, or giant cell arteritis.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 4","pages":"214-9"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208292","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 combination second-line therapy in rheumatoid arthritis more aggressive than helpful? 类风湿关节炎的联合二线治疗是否更具攻击性而非有益性?

Revue du rhumatisme (English ed.) Pub Date : 1999-04-01

J M Berthelot, A Saraux, Y Maugars, A Prost, P Le Goff

引用次数: 0

Polyradiculoneuropathy revealing a solitary plasmacytoma of the ilium. A new case-report. 多发性神经根神经病表现为孤立的髂骨浆细胞瘤。新病例报告。

Revue du rhumatisme (English ed.) Pub Date : 1999-04-01

R Niamane, A Benomar, W Messouak, M Benabdejlil, C Benabdellah, M Yahyaoui, N Hajjaj-Hassouni, T Chkili

{"title":"Polyradiculoneuropathy revealing a solitary plasmacytoma of the ilium. A new case-report.","authors":"R Niamane, A Benomar, W Messouak, M Benabdejlil, C Benabdellah, M Yahyaoui, N Hajjaj-Hassouni, T Chkili","doi":"","DOIUrl":"","url":null,"abstract":"Neurological manifestations are uncommon in myeloma patients, and subacute polyradiculoneuropathy as the inaugural manifestations of solitary plasmacytoma of bone is exceedingly rare. We report the case of a 52-year-old man who was evaluated for a three-month history of flaccid tetraplegia with a gradually ascending onset and for a deterioration in general health. Electromyography findings were consistent with polyradiculoneuropathy. Laboratory tests showed a moderate amount of a monoclonal IgG-lambda antibody. Findings were normal from a radiographic bone survey and a radionuclide bone scan. Computed tomography of the pelvis disclosed a solitary osteolytic lesion in the right iliac crest, which was found upon biopsy to be a malignant plasmacytoma. Radiation therapy and chemotherapy were given. Subacute or chronic polyradiculoneuropathy as the inaugural manifestation of solitary plasmacytoma is exceedingly rare and should be distinguished from the sensorimotor polyneuropathy produced by plasma cell infiltration in some multiple myeloma patients. The polyradiculoneuropathy of solitary plasmacytoma can be likened to the neuropathies seen in some forms of multiple myeloma (sclerotic myeloma and POEMS syndrome). The pathophysiology of these neuropathies remains obscure. The case reported here suggests that patients with unexplained lasting polyradiculoneuropathy should be investigated for a plasma cell proliferation even if they have no serum monoclonal component. Because plasmacytomas are painless, imaging studies are needed for their diagnosis. The management of the neuropathy consists in treatment of the tumor.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 4","pages":"229-31"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208295","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

Two new cases of glucocorticoid-induced pancreatitis. 糖皮质激素性胰腺炎新病例二例。

Revue du rhumatisme (English ed.) Pub Date : 1999-04-01

C S Di Fazano, O Messica, S Quennesson, E R Quennesson, R Inaoui, P Vergne, C Bonnet, P Bertin, R Trêves

引用次数: 0

Multiple rib fractures caused by coughing in a young woman without bone loss. 一名年轻女性因咳嗽导致多处肋骨骨折，但没有骨质流失。

Revue du rhumatisme (English ed.) Pub Date : 1999-04-01

B Jamard, A Constantin, A Cantagrel, B Mazières, M Laroche

引用次数: 0

Idiopathic carpal tunnel syndrome. Clinical, electrodiagnostic, and magnetic resonance imaging correlations. 特发性腕管综合征。临床，电诊断和磁共振成像的相关性。

Revue du rhumatisme (English ed.) Pub Date : 1999-04-01

F Zagnoli, V Andre, P Le Dreff, J F Garcia, S Bellard

{"title":"Idiopathic carpal tunnel syndrome. Clinical, electrodiagnostic, and magnetic resonance imaging correlations.","authors":"F Zagnoli, V Andre, P Le Dreff, J F Garcia, S Bellard","doi":"","DOIUrl":"","url":null,"abstract":"Background: Although carpal tunnel syndrome is diagnosed primarily on clinical grounds, a number of investigations can be helpful in confirming the diagnosis and providing therapeutic orientation. Electrodiagnostic testing is the most widely used method in everyday practice but can be inconclusive or inconsistent with the clinical findings. Magnetic resonance imaging is useful in such cases.Objectives: To compare the diagnostic usefulness of electrodiagnostic testing and magnetic resonance imaging in patients with carpal tunnel syndrome.Patients and methods: Thirty-three cases of clinically-defined carpal tunnel syndrome in 20 patients were investigated by electrodiagnostic testing and magnetic resonance imaging. The nerve entrapment was categorized as mild, moderate, or severe based on clinical and electrodiagnostic findings. Structures evaluated on magnetic resonance imaging scans were the median nerve, the flexor retinaculum, the flexor tendons, the fat lying deep to the tendons, the thenar compartment, and the carpal bones.Results: Bowing of the transverse carpal ligament, high signal from the median nerve on T2 images, and median nerve enlargement were found in 70%, 57%, and 55% of cases, respectively. Bowing of the transverse carpal ligament is a cause of mechanical compression, whereas the other two signs reflect injury to the median nerve. High signal from the median nerve was associated with more severe clinical and/or electrodiagnostic abnormalities.Conclusion: When electrodiagnostic abnormalities suggest more severe disease than expected or are otherwise discordant with clinical findings, demonstration by magnetic resonance imaging of high median nerve signal and/or median nerve enlargement may help to select those patients most likely to benefit from surgical treatment.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 4","pages":"192-200"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208451","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 leptomeningeal metastasis revealed by sciatica. 由坐骨神经痛引起的脑膜转移。

Revue du rhumatisme (English ed.) Pub Date : 1999-04-01

Y Allanore, P Hilliquin, M Zuber, M Renoux, C J Menkes, A Kahan

{"title":"A leptomeningeal metastasis revealed by sciatica.","authors":"Y Allanore, P Hilliquin, M Zuber, M Renoux, C J Menkes, A Kahan","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: Meningeal metastatic disease usually occurs as a complication of a brain tumor and is exceptionally isolated in patients with solid tumors. We report the case of a 74-year-old woman admitted for mechanical S1 sciatica refractory to drug therapy. She had been treated for breast cancer three years earlier. Physical findings were pain upon hyperextension of the lumbar spine and absence of the ankle jerks. Analysis of cerebrospinal fluid sampled during an intrathecal glucocorticoid injection showed 1 g/L of protein and 11 normal cells per mm3. Grade 3 L5-S1 spondylolisthesis was seen on plain radiographs, computed tomography scans, and magnetic resonance imaging scans. At that point, the patient developed sphincter dysfunction and motor loss in the left lower limb in the distribution of several nerve roots. Findings were normal from a myelogram and a magnetic resonance imaging study of the brain. A repeat cerebrospinal fluid analysis showed 1.1 g/L of protein and 5 cells/mm3. Because of the discrepancy between the clinical and imaging study findings, the patient was transferred to a neurology department. A third cerebrospinal fluid study showed numerous adenocarcinoma cells, and a repeat magnetic resonance imaging demonstrated a mass in the dural sac opposite L2. A program of monthly intrathecal methotrexate injections was started. A fatal meningeal relapse occurred eight months later.Conclusion: This case shows that a leptomeningeal metastasis can cause isolated nerve root pain, and demonstrates the diagnostic value of magnetic resonance imaging and cerebrospinal fluid cytology in patients with atypical symptoms, particularly when there is a history of malignant disease.","PeriodicalId":79371,"journal":{"name":"Revue du rhumatisme (English ed.)","volume":"66 4","pages":"232-4"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21208296","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

Late-onset McArdle's disease mimicking treatment-resistant polymyositis. Report of a case and review of the literature. 模仿治疗难治性多肌炎的迟发性麦卡德尔病。病例报告及文献复习。

Revue du rhumatisme (English ed.) Pub Date : 1999-04-01

R Pego, M A González-Gay, C García-Porrúa, F Brañas, C Navarro

引用次数: 0