Prevalence of mutilans-like hand deformities in patients with seropositive rheumatoid arthritis. A prospective 20-year study.
Identifieur interne : 000002 ( Ncbi/Merge ); précédent : 000001; suivant : 000003Prevalence of mutilans-like hand deformities in patients with seropositive rheumatoid arthritis. A prospective 20-year study.
Auteurs : M. Yoshida [Japon] ; E A Belt ; K. Kaarela ; M J Kauppi ; T. ShimamuraSource :
- Scandinavian journal of rheumatology [ 0300-9742 ] ; 1999.
Descripteurs français
- Wicri :
- geographic : Finlande.
English descriptors
- KwdEn :
- Adolescent, Adult, Arthritis, Rheumatoid (complications), Arthritis, Rheumatoid (epidemiology), Arthritis, Rheumatoid (pathology), Arthrography, Bone Resorption (etiology), Bone Resorption (pathology), Female, Finger Joint (pathology), Finger Joint (radiography), Finland (epidemiology), Hand Deformities (complications), Hand Deformities (epidemiology), Hand Deformities (pathology), Humans, Joint Deformities, Acquired (complications), Joint Deformities, Acquired (epidemiology), Joint Deformities, Acquired (pathology), Prevalence, Prospective Studies.
- 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 > or =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.
PubMed: 10092163
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pubmed:10092163Le document en format XML
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<author><name sortKey="Yoshida, M" sort="Yoshida, M" uniqKey="Yoshida M" first="M" last="Yoshida">M. Yoshida</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Orthopaedic Surgery and Rheumatology, Iwate Medical University, Morioka, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Orthopaedic Surgery and Rheumatology, Iwate Medical University, Morioka</wicri:regionArea>
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<region type="prefecture">Préfecture d'Iwate</region>
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<author><name sortKey="Belt, E A" sort="Belt, E A" uniqKey="Belt E" first="E A" last="Belt">E A Belt</name>
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<author><name sortKey="Kaarela, K" sort="Kaarela, K" uniqKey="Kaarela K" first="K" last="Kaarela">K. Kaarela</name>
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<author><name sortKey="Kauppi, M J" sort="Kauppi, M J" uniqKey="Kauppi M" first="M J" last="Kauppi">M J Kauppi</name>
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<author><name sortKey="Shimamura, T" sort="Shimamura, T" uniqKey="Shimamura T" first="T" last="Shimamura">T. Shimamura</name>
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<term>Arthritis, Rheumatoid (pathology)</term>
<term>Arthrography</term>
<term>Bone Resorption (etiology)</term>
<term>Bone Resorption (pathology)</term>
<term>Female</term>
<term>Finger Joint (pathology)</term>
<term>Finger Joint (radiography)</term>
<term>Finland (epidemiology)</term>
<term>Hand Deformities (complications)</term>
<term>Hand Deformities (epidemiology)</term>
<term>Hand Deformities (pathology)</term>
<term>Humans</term>
<term>Joint Deformities, Acquired (complications)</term>
<term>Joint Deformities, Acquired (epidemiology)</term>
<term>Joint Deformities, Acquired (pathology)</term>
<term>Prevalence</term>
<term>Prospective Studies</term>
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<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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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Arthrography</term>
<term>Female</term>
<term>Humans</term>
<term>Prevalence</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 > or =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>
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<Title>Scandinavian journal of rheumatology</Title>
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<ArticleTitle>Prevalence of mutilans-like hand deformities in patients with seropositive rheumatoid arthritis. A prospective 20-year study.</ArticleTitle>
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<Abstract><AbstractText>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 > or =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.</AbstractText>
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