Revista Brasileira De Reumatologia最新文献

英文中文

EpiFibro (Registro Brasileiro de Fibromialgia): dados sobre a classificação do ACR e preenchimento dos critérios diagnósticos preliminares e avaliação de seguimento EpiFibro(巴西纤维肌痛登记处):ACR分类数据和初步诊断标准的完成和随访评估

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-03-01 DOI: 10.1016/j.rbr.2016.07.003

José Eduardo Martinez , Eduardo S. Paiva , Marcelo C. Rezende , Roberto E. Heymann , Milton Helfenstein Jr. , Aline Ranzolin , Jose Roberto Provenza , Luiz Severiano Ribeiro , Eduardo J.R. Souza , Daniel P. Feldman , Marcos Renato de Assis

Introduction

EpiFibro (Brazilian Epidemiological Study of Fibromyalgia) was created to study Fibromyalgia patients. Patients were included since 2011 according to the 1990 American College of Rheumatology Classification Criteria for Fibromyalgia (ACR1990).

Objectives

To determine how many patients still fulfill the ACR1990 and the ACR2010 criteria in 2014; to determine the correlation between the impact of FM and to describe data on the follow‐up evaluation.

Methods

This is a cross sectional study in a multicenter cohort of patients. The data was collected between 2013 and 2015. Physician included patients that fulfilled the ACR1990 criteria on the date of entry. The follow‐up data were considered only for patients with at least two evaluations. A minimally significant change was considered to be a 30% variation of parameters scores.

Results

810 patients’ data were analyzed. Patients presented a mean age of 51.8 ± 11.5 years old. There were 786 female. Most patients met both criteria. There was a greater fulfilling of the ACR2010. There was a moderate correlation between PDS and FIQ. Three hundred fourteen patients with more than one assessment were found, but 88 patients were excluded. Thus, 226 patients with one follow‐up monitoring parameter were considered. (FIQ: 222; PDS: 199; both: 195). The mean follow‐up time was 9.1 ± 7.5 months (1‐ 44). Most patients became stable.

Conclusion

InEpiFibro, most patients fulfill simultaneously the ACR1990 and ACR2010. A larger number of patients fulfill the ACR2010 at the time of the evaluation. There was a moderate correlation. Most patients remained stable over time.

epifibro(巴西纤维肌痛流行病学研究)是为了研究纤维肌痛患者而创建的。自2011年起，根据1990年美国风湿病学会纤维肌痛分类标准(ACR1990)纳入患者。目的确定2014年仍有多少患者符合ACR1990和ACR2010标准;以确定FM影响之间的相关性，并描述随访评估的数据。方法:这是一项多中心患者队列的横断面研究。这些数据是在2013年至2015年间收集的。医师纳入了在入组之日符合ACR1990标准的患者。随访数据仅考虑至少有两次评估的患者。最小显著变化被认为是参数得分变化30%。结果共分析810例患者资料。患者平均年龄51.8±11.5岁。共有786名女性。大多数患者同时满足这两个标准。ACR2010得到了更大的实现。PDS与FIQ有中度相关性。发现314例患者有不止一种评估，但有88例患者被排除在外。因此，226例患者有一个随访监测参数。(FIQ: 222;PDS: 199;: 195)。平均随访时间为9.1±7.5个月(1‐44)。大多数病人病情稳定。结论在epifibro中，大多数患者同时满足ACR1990和ACR2010。在评估时，更多的患者符合ACR2010。有中等程度的相关性。大多数患者在一段时间内保持稳定。

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引用次数: 11

Injeção intra‐articular de hexacetonido de triancinolona em pacientes com artrite reumatoide: avaliação prospectiva da goniometria e parâmetros de inflamação articular 类风湿性关节炎关节内注射曲安奈德六酮:角度测量和关节炎症参数的前瞻性评价

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-03-01 DOI: 10.1016/j.rbr.2016.06.006

Rita Nely Vilar Furtado, Flávia Soares Machado, Karine Rodrigues da Luz, Marla Francisca dos Santos, Monique Sayuri Konai, Roberta Vilela Lopes, Jamil Natour

Objectives

To evaluate local joint variables after intra‐articular injection (IAI) with triamcinolone hexacetonide (HT) in rheumatoid arthritis (RA) patients.

Methods

We blindly and prospectively (baseline, 1, 4, 12 and 24 weeks) evaluated metacarpophalangeal (MCP), wrist, elbow, shoulder, knee and ankle joints after HT IAI by the following outcome measures: Visual analogue scale 0‐10 cm (VAS) for rest pain (VASR); VAS for movement pain (VASM); VAS for joint swelling (VASSw); flexion (FlexG) and extension (ExtG).

Results

289 patients (635 joints) were studied. VASSw (p < 0,001) and VASR (0,001< p < 0.016) improved from T0 to T4, T12 and T24 for all joints. VASM improved from T0‐T4 (p < 0.021) for all joints; T0‐T12 (p < 0.023) for MCF and knee; T0‐T24 (p < 0.019) only for MCF and knee. FlexG improved from T0‐T4 (p < 0.001) for all joints; T0‐T12 (p < 0.001) and T0‐T24 (p < 0.02) only for MCF and knee. ExtG improved from T0‐T4 (p < 0.001) for all joints except for elbow; T0‐T12 (p = 0.003) for wrist, MCP and knee; and T0‐T24 (p = 0.014) for MCF and knee.

Conclusion

VASSw responded better at short and medium term after IAI with HT in our sample of RA patients.

目的评价类风湿性关节炎(RA)患者关节内注射曲安奈德(HT)后的局部关节变量。方法采用盲法和前瞻性(基线、1、4、12和24周)评估HT IAI后掌指关节(MCP)、腕、肘、肩、膝和踝关节的预后指标:静止疼痛(VASR)的视觉模拟评分0 ~ 10 cm;VAS治疗运动痛(VASM);关节肿胀VAS (vasw);屈(FlexG)和伸(ExtG)。结果289例患者共635个关节。w & p;0,001)和VASR (0,001<p & lt;0.016)，各关节从T0到T4、T12和T24均有改善。VASM从T0‐T4改善(p <所有接头0.021);T0‐T12 (p <MCF和膝关节0.023);T0‐T24 (p <0.019)仅适用于MCF和膝关节。从T0‐T4改进的FlexG (p <0.001);T0‐T12 (p <0.001)和T0‐T24 (p <0.02)，仅适用于MCF和膝关节。从T0‐T4改进的ExtG (p <0.001)，除肘关节外的所有关节;手腕、MCP和膝关节的T0‐T12 (p = 0.003);MCF和膝关节的T0 - T24 (p = 0.014)。结论在我们的RA患者样本中，在IAI联合HT后，vassw在中短期疗效更好。

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引用次数: 3

Prevalência e impacto nas atividades diárias da dor musculoesquelética idiopática em crianças da Índia 印度儿童特发性肌肉骨骼疼痛的患病率和对日常活动的影响

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-01-01 DOI: 10.1016/j.rbr.2015.03.005

Ganesh Kumar, Amieleena Chhabra, Vivek Dewan, Tribhuvan Pal Yadav

Objectives

To study the prevalence of idiopathic musculoskeletal pain (IMSP) in school going children and its impact on daily life.

Methods

One thousand eighteen apparently healthy school children aged 5‐16 years were assessed and analysed for IMSP and its associated problems. Standard tests for significance were applied.

Results

One hundred and sixty five (16.2%) children mostly males (55.2%) reported IMSP. Lower limbs (52.1%) were the most common location of pain. More than 1 year of pain history was present in 15%. Thirty seven percent children complained of discomfort during walking, 30.9%, had pain during physical exercise, 29.2% had difficulty attending lessons and 4.2% had interference in pursuing hobbies. The children were also further sub grouped into preadolescents and adolescents. There was significant difference in pain duration and duration of each pain episode in the two groups (p = 0.01). A significant number of children (21.2%) with IMSP reported school absenteeism (p < 0.001). A significant number of adolescents had history positive for contact sports (p = 0.001). Sleep disturbances were also reported to be higher in children with IMSP (29% vs. 5.7%, p = 0.001). Other associated problems in children with IMSP found were day time tiredness (51.1%), headache (47.3%) and abdominal pain (24.8%).

Conclusions

Prevalence of IMSP in school children aged 5‐16 yrs was found to be 16.2% and a significant percentage of these children experience interference with daily activities including school absenteeism.

目的了解学龄期儿童特发性肌肉骨骼疼痛(IMSP)的患病率及其对日常生活的影响。方法对118名5 ~ 16岁表面健康的学龄儿童进行IMSP及其相关问题的评估和分析。采用显著性标准检验。结果患儿165例(16.2%)，以男性为主(55.2%)。下肢(52.1%)是最常见的疼痛部位。有1年以上疼痛史的占15%。37%的孩子在走路时感到不适，30.9%的孩子在体育锻炼时感到疼痛，29.2%的孩子在上课时感到困难，4.2%的孩子在追求爱好时受到干扰。这些孩子也被进一步分为青春期前和青少年。两组患者疼痛持续时间及每次疼痛发作持续时间差异有统计学意义(p = 0.01)。大量患有IMSP的儿童(21.2%)报告学校缺勤(p <0.001)。大量青少年有接触性运动史阳性(p = 0.001)。据报道，IMSP患儿的睡眠障碍也更高(29%对5.7%，p = 0.001)。其他与IMSP相关的问题包括白天疲劳(51.1%)、头痛(47.3%)和腹痛(24.8%)。结论5 - 16岁学龄儿童的IMSP患病率为16.2%，这些儿童的日常活动受到干扰，包括旷课。

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引用次数: 8

Relapsing polychondritis: prevalence of cardiovascular diseases and its risk factors, and general disease features according to gender. 复发性多软骨炎:心血管疾病的患病率及其危险因素，以及按性别划分的一般疾病特征。

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-01-01 DOI: 10.1016/j.rbr.2017.01.002

P. Pallo, M. Levy-Neto, R. Pereira, S. Shinjo

引用次数: 0

ATIVIDADE DA DOENÇA, DEFICIÊNCIA FUNCIONAL, NÍVEL DE ATIVIDADE FÍSICA E KINESIOFOBIA NA ARTRITE REUMATOIDE 类风湿性关节炎的疾病活动、功能障碍、身体活动水平和运动恐惧症

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-01-01 DOI: 10.1016/j.rbr.2017.06.020

D. Peres , N. Tordi , Y. Sagawa , X. Guillot , C. Prati , S.C. Domenech

引用次数: 0

CRIOTERAPIA LOCAL SUBCRÔNICA POR APLICAÇÃO DE GELO OU SPRAY DE GÁS INIBE A VIA LOCAL E SISTÊMICA DE IL‐6 E IL‐17 NA ARTRITE INDUZIDA POR ADJUVANTE 用冰或气体喷雾进行局部亚慢性冷冻治疗可抑制佐剂诱导关节炎的局部和全身IL - 6和IL - 17通路

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-01-01 DOI: 10.1016/j.rbr.2017.06.034

X. Guillot , H. Martin , K. Maguin‐Gaté , S. Py , C. Demougeot , D. Wendling , D. Peres , N. Tordi

引用次数: 0

FREQUÊNCIA DE SÍNDROME METABÓLICA EM PACIENTES COM ARTRITE REUMATOIDE 类风湿性关节炎患者代谢综合征的频率

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-01-01 DOI: 10.1016/j.rbr.2017.06.044

N.T.O. Alves, E.C.Q. Figueiredo, L.Q. Figueiredo, M.I. Fernandes, G.O. Chaves, L.B. Oliveira

引用次数: 0

PERFIL TERAPÊUTICO DE PACIENTES COM ARTRITE REUMATOIDE NO BRASIL. ESTUDO DE VIDA REAL 巴西类风湿性关节炎患者的治疗概况。真实生活学习

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-01-01 DOI: 10.1016/j.rbr.2017.06.057

A.P.M. Gomides , L.M.H. Mota , G.R. Castelar , C.P. Albuquerque , A.B. Vargas‐Santos , M. Bertolo , P.L. Filho , M.F.L.C. Sauma , C. Brenol , I.A. Pereira , S. Radominski , M.R.C. Pinto , K. Bonfiglioli , R. Giorgi

引用次数: 1

OSTEOMALACIA POR TENOFOVIR COMO DIAGNÓSTICO DIFERENCIAL DE MÚLTIPLAS FRATURAS VERTEBRAIS: RELATO DE CASO 替诺福韦骨嵌入术作为多椎体骨架的不同诊断方法：病例关系

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-01-01 DOI: 10.1016/J.RBR.2017.07.016

C. N. Bulhõs, R.M.P. Rodrigues, T. M. Silva

引用次数: 0

ANTICORPO ANTI‐RNP: ASSOCIADO A UM FENÓTIPO CLÍNICO ESPECÍFICO? 抗RNP抗体:与特定的临床表型相关?

Q Medicine

Revista Brasileira De Reumatologia

Pub Date : 2017-01-01 DOI: 10.1016/J.RBR.2017.07.021

G. Marques, H. Tupinambá, V. S. Vilela, Roger Levy

引用次数: 0

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