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 : 002701Prevalence 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 :
- Scandinavian journal of rheumatology [ 0300-9742 ] ; 1999.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adolescent, Adult, Arthritis, Arthritis, Rheumatoid (complications), Arthritis, Rheumatoid (epidemiology), Arthritis, Rheumatoid (pathology), Arthrography, Bone Resorption (etiology), Bone Resorption (pathology), Chronic, Complication, Epidemiology, Exploration, Female, Finger Joint (pathology), Finger Joint (radiography), Finland (epidemiology), Follow up study, Frequency, Hand Deformities (complications), Hand Deformities (epidemiology), Hand Deformities (pathology), Human, Humans, Inflammation, Joint Deformities, Acquired (complications), Joint Deformities, Acquired (epidemiology), Joint Deformities, Acquired (pathology), Long term, Opera glass hand, Prevalence, Prospective Studies, Radiography, Rheumatoid arthritis, Symptomatology, Upper limb.
- MESH :
- geographic , epidemiology : Finland.
- complications : Arthritis, Rheumatoid, Hand Deformities, Joint Deformities, Acquired.
- epidemiology : Arthritis, Rheumatoid, Hand Deformities, Joint Deformities, Acquired.
- etiology : Bone Resorption.
- pathology : Arthritis, Rheumatoid, Bone Resorption, Finger Joint, Hand Deformities, Joint Deformities, Acquired.
- radiography : Finger Joint.
- Adolescent, Adult, Arthrography, Female, Humans, Prevalence, Prospective Studies.
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.
Affiliations:
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Le document en format XML
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<profileDesc><textClass><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>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Finland</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arthritis, Rheumatoid</term>
<term>Hand Deformities</term>
<term>Joint Deformities, Acquired</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Arthritis, Rheumatoid</term>
<term>Hand Deformities</term>
<term>Joint Deformities, Acquired</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Bone Resorption</term>
</keywords>
<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>
</keywords>
<keywords scheme="MESH" qualifier="radiography" xml:lang="en"><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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<keywords scheme="Pascal" xml:lang="fr"><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>
<term>Homme</term>
<term>Epidémiologie</term>
<term>Fréquence</term>
<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>
</TEI>
<affiliations><list><country><li>Finlande</li>
<li>Japon</li>
</country>
<region><li>Préfecture d'Iwate</li>
</region>
<settlement><li>Morioka</li>
</settlement>
<orgName><li>Université de médecine d'Iwate</li>
</orgName>
</list>
<tree><country name="Japon"><region name="Préfecture d'Iwate"><name sortKey="Yoshida, M" sort="Yoshida, M" uniqKey="Yoshida M" first="M." last="Yoshida">M. Yoshida</name>
</region>
<name sortKey="Shimamura, T" sort="Shimamura, T" uniqKey="Shimamura T" first="T." last="Shimamura">T. Shimamura</name>
</country>
<country name="Finlande"><noRegion><name sortKey="Belt, E A" sort="Belt, E A" uniqKey="Belt E" first="E. A." last="Belt">E. A. Belt</name>
</noRegion>
<name sortKey="Kaarela, K" sort="Kaarela, K" uniqKey="Kaarela K" first="K." last="Kaarela">K. Kaarela</name>
<name sortKey="Kauppi, M J" sort="Kauppi, M J" uniqKey="Kauppi M" first="M. J." last="Kauppi">M. J. Kauppi</name>
</country>
</tree>
</affiliations>
</record>
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