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Journal of rheumatic diseases and treatment最新文献

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Systemic Sclerosis and Malignancy: Unravelling the Link through a Paraneoplastic Systemic Sclerosis Case Series 系统性硬化症与恶性肿瘤:通过副肿瘤性系统性硬化症病例系列揭示其中的联系
Pub Date : 2023-12-31 DOI: 10.23937/2469-5726/1510102
Ing Shan Kai, Chuah Seow Lin, Ling Guo Ruey, Lee Yih Hoong
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引用次数: 0
Erythrodermic Flare-Up of Psoriasis with Uncontrolled, Undiagnosed Diabetes Mellitus: A Case Report 红皮病型银屑病发作伴未确诊的糖尿病1例报告
Pub Date : 2023-12-31 DOI: 10.23937/2469-5726/1510099
I. Pérez, Daniel Sabbagh
Erythrodermic psoriasis is a rare and life-threatening variant of psoriasis. Multiple triggering factors have been described, including emotional stress, alcohol consumption, medications, infections, less common phototherapy, photo chemotherapy, application of topical irritants, Sars-Cov 2 vaccine, HIV and hypocalcemia. In this paper we report the first case of a patient with a flare up of erythrodermic psoriasis whose only possible trigger was uncontrolled, undiagnosed diabetes mellitus. Psoriatic arthritis was concomitantly diagnosed. He was initially managed with supportive therapy, corticosteroids
红皮病型牛皮癣是一种罕见且危及生命的牛皮癣变种。多种触发因素已被描述,包括情绪压力、饮酒、药物、感染、不太常见的光疗、光化学疗法、局部刺激物的应用、Sars-Cov 2疫苗、艾滋病毒和低钙血症。在这篇论文中,我们报告了第一例红皮病型牛皮癣患者,其唯一可能的触发因素是不受控制的,未确诊的糖尿病。银屑病关节炎同时被诊断。他最初接受了支持性治疗,皮质类固醇
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引用次数: 0
Impact of the Indicator ‘Radiographic Pattern’ on the Clinical Presentation and Radiographic Progression of Hip Osteoarthritis - Results from an 8-Year Study 指标“影像学模式”对髋关节骨关节炎临床表现和影像学进展的影响——来自一项8年研究的结果
Pub Date : 2022-12-31 DOI: 10.23937/2469-5726/1510100
Sapundzhiev Lyubomir, Sapundzhieva Tanya, Mitev Martin, Simitchiev Kiril, Batalov Anastas
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引用次数: 0
Carcinoma of the Tongue, a Rare Complication in Severe Sjogren's Syndrome: A Description of a Case and a Review of the Literatures 舌癌是严重干燥综合征中一种罕见的并发症:1例报告及文献复习
Pub Date : 2022-12-31 DOI: 10.23937/2469-5726/1510101
Edrees Amr
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引用次数: 0
CPPD Causing RA Like Tendon Ruptures in Hand- Highlighting the Known Facts for Clinical Update CPPD导致类风湿性关节炎肌腱断裂-强调临床更新的已知事实
Pub Date : 2022-12-31 DOI: 10.23937/2469-5726/1510097
Agarwal Sharat
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引用次数: 0
A Children's Tale: Unusual Presentation of Juvenile SLE 一个儿童故事:少年SLE的不寻常表现
Pub Date : 2022-06-30 DOI: 10.23937/2469-5726/1510096
Nahar Naisar Dilip, Nahar Prachi Naisar
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引用次数: 1
A Case of Extensive Hand Extensors Tendon Rupture Due to Pseudo-rheumatoid Arthritis - A Great Mimicker of Rheumatoid Arthritis 假性类风湿关节炎致手大伸肌腱断裂1例——类风湿关节炎的大模仿者
Pub Date : 2022-03-09 DOI: 10.23937/2469-5726/1510093
Y. Cho, L. Jones, Brent Flickinger
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引用次数: 0
Neuropsychiatric Lupus in Singapore: Disease Characteristics and Outcomes 新加坡的神经精神性狼疮:疾病特征和结果
Pub Date : 2022-01-01 DOI: 10.23937/2469-5726/1510094
Roslan Nur Emillia, Law Annie Hui Nee
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引用次数: 1
Myasthenia Gravis in a Patient with Systemic Lupus Erythematosus: A Case Report and Review of the Literature 系统性红斑狼疮患者重症肌无力1例报告及文献复习
Pub Date : 2022-01-01 DOI: 10.23937/2469-5726/1510095
Edrees Amr
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引用次数: 0
The Role of Skeletal Radiology and the Limits of Serologic Assays in Distinguishing among the Causes of Inflammatory Arthritis 骨骼放射学的作用和血清学检测在区分炎症性关节炎病因中的局限性
Pub Date : 2021-10-07 DOI: 10.23937/2469-5726/1510092
Bruce Rothschild, M. Gernert, O. Gadeholt
Radiologic findings are important for the diagnosis and treatment of inflammatory joint disease. Current classification criteria utilize different serological findings, such as anti-citrullinated-peptide antibodies (ACPA) and rheumatoid factor (RF), as well as clinical findings, for diagnosis of rheumatoid arthritis (RA). The presence of erosions allows diagnosis, even if serological criteria are not fulfilled. However, the pertinent erosions are not clearly defined. Previous studies have shown different patterns of radiographic changes in RA patients, possibly representing different mechanisms of damage. The association between different damage patterns and serological findings is not known. This study explores the association between serological factors and radiographic findings in patients with a clinical diagnosis of RA, RF-/ACPA-positive and negative, and spondylarthropathy, from a single centre. Anonymized radiographs were evaluated blindly, assessing presence of osteopenia, marginal and subchondral erosions, peri-erosional sclerosis, joint surface crumbling, and joint fusion. Radiological diagnosis was then correlated with serological findings. 193 patients were studied (RA/spondylarthropathy 151/42). Age and disease duration did not differ significantly between the groups. Subchondral and wrist erosions were significantly more common in clinically-diagnosed RA patients. RF, but not ACPA, was associated with metacarpal-carpal and metatarsal-tarsal erosions. Generally, no serological or clinical parameter could reliably predict radiological changes in patients with peripheral arthritis, neither those findings associated with RA, nor those rather associated with spondylarthropathy. This study suggests that serology alone is unable to predict the mode of radiological damage in patients with peripheral inflammatory joint disease. To prevent confounding, further studies into arthritis pathophysiology should therefore take both radiological and serological findings into account.
放射学表现对炎性关节疾病的诊断和治疗是重要的。目前的分类标准利用不同的血清学结果,如抗瓜氨酸肽抗体(ACPA)和类风湿因子(RF),以及临床表现来诊断类风湿关节炎(RA)。即使不符合血清学标准,存在糜烂也可以进行诊断。然而,相关的侵蚀没有明确的定义。先前的研究表明,RA患者的放射学改变模式不同,可能代表不同的损伤机制。不同损伤模式与血清学结果之间的关系尚不清楚。本研究从单一中心探讨了临床诊断为RA, RF-/ acpa阳性和阴性以及脊椎关节病的患者的血清学因素与影像学表现之间的关系。匿名x线片盲目评估,评估骨质减少、边缘和软骨下糜烂、糜烂周围硬化、关节表面碎裂和关节融合的存在。然后将放射学诊断与血清学结果相关联。193例患者被纳入研究(RA/脊椎关节病151/42)。两组间年龄和病程无显著差异。软骨下和腕部糜烂在临床诊断为RA的患者中更为常见。RF与掌骨-腕骨和跖骨-跗骨糜烂有关,而与ACPA无关。一般来说,没有血清学或临床参数可以可靠地预测周围性关节炎患者的影像学改变,无论是与RA相关的,还是与脊椎关节病相关的。这项研究表明,血清学本身不能预测周围性炎症性关节疾病患者的放射损伤模式。为了防止混淆,对关节炎病理生理学的进一步研究应考虑到放射学和血清学的发现。
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引用次数: 0
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Journal of rheumatic diseases and treatment
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