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Prevalence of mutilans-like hand deformities in patients with seropositive rheumatoid arthritis : A prospective 20-year study

Identifieur interne : 002700 ( Main/Exploration ); précédent : 002699; suivant : 002701

Prevalence of mutilans-like hand deformities in patients with seropositive rheumatoid arthritis : A prospective 20-year study

Auteurs : M. Yoshida [Japon] ; E. A. Belt [Finlande] ; K. Kaarela [Finlande] ; M. J. Kauppi [Finlande] ; T. Shimamura [Japon]

Source :

RBID : Pascal:99-0171185

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English descriptors

Abstract

This study examined radiographically the prevalence of arthritis mutilans hand deformities in an inception cohort of 68 rheumatoid arthritis (RA) patients. Hand deformities of 103 RF-positive RA patients were evaluated after 8 years, 83 patients after 15 years and 68 patients 20 years after entry. The grade of destruction in the hand joints was assessed by the Larsen method and Larsen scores of 0 - 50 were determined for both PIP (+ IP) and MCP joints. At the end point, 3 patients had Larsen scores ≥40 for both PIP and MCP joints. These three patients had severe resorption in most of the finger joints, but did not demonstrate classical opera-glass hand. The prevalence of mutilans-like hand deformities with RA was 3/68 (4.4%) in a prospective 20-year study.


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Le document en format XML

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<title xml:lang="en" level="a">Prevalence of mutilans-like hand deformities in patients with seropositive rheumatoid arthritis : A prospective 20-year study</title>
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<title level="j" type="main">Scandinavian journal of rheumatology</title>
<title level="j" type="abbreviated">Scand. j. rheumatol.</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Arthritis</term>
<term>Arthritis, Rheumatoid (complications)</term>
<term>Arthritis, Rheumatoid (epidemiology)</term>
<term>Arthritis, Rheumatoid (pathology)</term>
<term>Arthrography</term>
<term>Bone Resorption (etiology)</term>
<term>Bone Resorption (pathology)</term>
<term>Chronic</term>
<term>Complication</term>
<term>Epidemiology</term>
<term>Exploration</term>
<term>Female</term>
<term>Finger Joint (pathology)</term>
<term>Finger Joint (radiography)</term>
<term>Finland (epidemiology)</term>
<term>Follow up study</term>
<term>Frequency</term>
<term>Hand Deformities (complications)</term>
<term>Hand Deformities (epidemiology)</term>
<term>Hand Deformities (pathology)</term>
<term>Human</term>
<term>Humans</term>
<term>Inflammation</term>
<term>Joint Deformities, Acquired (complications)</term>
<term>Joint Deformities, Acquired (epidemiology)</term>
<term>Joint Deformities, Acquired (pathology)</term>
<term>Long term</term>
<term>Opera glass hand</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
<term>Radiography</term>
<term>Rheumatoid arthritis</term>
<term>Symptomatology</term>
<term>Upper limb</term>
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<term>Finland</term>
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<term>Arthritis, Rheumatoid</term>
<term>Hand Deformities</term>
<term>Joint Deformities, Acquired</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Arthritis, Rheumatoid</term>
<term>Hand Deformities</term>
<term>Joint Deformities, Acquired</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Bone Resorption</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Arthritis, Rheumatoid</term>
<term>Bone Resorption</term>
<term>Finger Joint</term>
<term>Hand Deformities</term>
<term>Joint Deformities, Acquired</term>
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<term>Finger Joint</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Arthrography</term>
<term>Female</term>
<term>Humans</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
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<term>Polyarthrite rhumatoïde</term>
<term>Arthrite</term>
<term>Inflammation</term>
<term>Main en lorgnette</term>
<term>Complication</term>
<term>Symptomatologie</term>
<term>Radiographie</term>
<term>Exploration</term>
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<term>Epidémiologie</term>
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<term>Etude longitudinale</term>
<term>Long terme</term>
<term>Chronique</term>
<term>Membre supérieur</term>
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<front>
<div type="abstract" xml:lang="en">This study examined radiographically the prevalence of arthritis mutilans hand deformities in an inception cohort of 68 rheumatoid arthritis (RA) patients. Hand deformities of 103 RF-positive RA patients were evaluated after 8 years, 83 patients after 15 years and 68 patients 20 years after entry. The grade of destruction in the hand joints was assessed by the Larsen method and Larsen scores of 0 - 50 were determined for both PIP (+ IP) and MCP joints. At the end point, 3 patients had Larsen scores ≥40 for both PIP and MCP joints. These three patients had severe resorption in most of the finger joints, but did not demonstrate classical opera-glass hand. The prevalence of mutilans-like hand deformities with RA was 3/68 (4.4%) in a prospective 20-year study.</div>
</front>
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<name sortKey="Yoshida, M" sort="Yoshida, M" uniqKey="Yoshida M" first="M." last="Yoshida">M. Yoshida</name>
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<name sortKey="Shimamura, T" sort="Shimamura, T" uniqKey="Shimamura T" first="T." last="Shimamura">T. Shimamura</name>
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