Deforming Non-Erosive Arthritis of the Hand in Systemic Lupus Erythematosus

Aptekar, Robert G.; Lawless, Oliver J.; Decker, John L.

doi:10.1097/00003086-197405000-00018

Cited by 37 publications

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“…During a 2-year period, 19 patients with high titer anti-ENA, predominantly anti-RNP, and an ultimately undifferentiated or mixed rheumatic syndrome were evaluated by one or both authors.…”

Section: Methodsmentioning

confidence: 99%

Clinical features of the arthritis of mixed connective tissue disease

Halla

Hardin

1978

Arthritis & Rheumatism

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Seventeen of 19 patients with mixed connective tissue disease (MCTD) had arthritis as a significant initial feature of their disease; 8 were given an initial diagnosis of rheumatoid arthritis (RA) and 4 received chrysotherapy. RA‐like hand deformities were present in 35% and contractures and/or persistent loss of joint motion in 47%. Joint radiographs showed abnormalities in 41% and included erosions and/or cysts in 30%. The arthritis of MCTD may be both erosive and deforming and this disease should be considered in patients presenting as RA with unusual features.

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“…During a 2-year period, 19 patients with high titer anti-ENA, predominantly anti-RNP, and an ultimately undifferentiated or mixed rheumatic syndrome were evaluated by one or both authors.…”

Section: Methodsmentioning

confidence: 99%

Clinical features of the arthritis of mixed connective tissue disease

Halla

Hardin

1978

Arthritis & Rheumatism

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“…While Russell et al found Jaccoud's deformities in 7 of 30 (23 %) lupus patients referred to a rheumatic disease unit11 and another group reported ligamentous laxity in 50%, swanneck deformities in 38 %, and thumb hyperextension deformities in 30% of 50 SLE patients,16 Jaccoud's syndrome has been found in from 2-4 to 7 0% of the largest series of SLE patients reported since 1970.2 9 Jaccoud's syndrome appears to be a late manifestation of longstanding arthritis,7 11 17 as our study confirms, and with longer survival of SLE patients the frequency of deforming arthtitis of the hands can be expected to increase. 18 Jaccoud's deformities consist most commonly of ulnar deviation, metacarpophalangeal subluxation, swan-neck deformities, hyperextension deformities of the interphalangeal joint of the thumb, and less frequently boutonniere deformities.2 -11 The deformities are usually reducible and only rarely disabling, though the hyperextension deformity of the thumb can lead to a decreased pinch.…”

Section: Discussionmentioning

confidence: 98%

Deforming arthritis in systemic lupus erythematosus.

Esdaile¹,

Danoff²,

Rosenthall³

et al. 1981

Annals of the Rheumatic Diseases

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“…Até que se tenha a análise precisa da condição de saúde, o indivíduo pode receber diferentes hipóteses de diagnóstico, o que muitas vezes implica no tratamento tardio 5 . A artropatia de Jaccoud (AJ) é uma manifestação clínica que foi primariamente descrita em associação com a febre reumática, mas já é possível ser observada em doenças do tecido conectivo, no LES 6,7,8 , a dermatomiosite 9 , inflamações intestinais, artrite psoriásica, entre outras 5,10,11 .…”

Section: Resumo | Introdução: O Lúpus Eritematoso Sistêmicounclassified

“…A AJ é uma inflamação deformante, não erosiva e reversível, que ocorre nas articulações proximais, mais frequentemente observadas em membros superiores [6][7][8] . Atinge comumente as metacarpofalangianas (MF) e interfalangeanas (IF) dos quirodáctilos e pododáctilos 5 .…”

Section: Resumo | Introdução: O Lúpus Eritematoso Sistêmicounclassified

“…Nos exames de imagem da mão com AJ podem ser encontradas deformidades em três tipos de graus 1 . As manifestações musculoesqueléticas que caracterizam a AJ são: pescoço de cisne, desvio ulnar, subluxação do polegar e hálux valgo [6][7][8] . É reconhecido que deformidades articulares geradas por doenças degenerativas levam a incapacidades e dependências funcionais e, com isso, geram-se custos econômicos tanto para o paciente quanto para a sociedade 12 .…”

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Avaliação Funcional Da Mão Em Pessoas Com E Sem Artropatia De Jaccoud Associada Ao Lúpus

Souza¹,

Galvão²

2017

Rev Pesq Fisio

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| Introduction: Systemic lupus erythematosus(SLE) is a chronic autoimmune disease of a diffuse nature, which causes, among other factors, joint involvement Jaccoud arthropathy (AJ) is a reversible deforming inflammation that occurs in the proximal joints, Frequently seen in upper limbs. The epidemiological prevalence of AJ is 5% for SLE patients. Poor alignment or loss of strength can limit movement, generate compensations and joint overloads. Early functional diagnosis may help reduce the installation of joint deformities. Objective: To compare the range of motion and palmar grip strength in people with and without AJ associated with SLE. Methods: A cross-sectional study where patients were allocated to two groups: diagnosed with SLE and diagnosed with SLE associated with AJ. The instruments used: dynamometer, finger goniometer and the universal goniometer. Results: 67 women with SLE participated in the study, of which 32 had AJ. The sociodemographic and clinical characteristics of the groups were considered homogeneous for the analyzed variables. A significant difference was observed between groups, except for the extent of interphalangeal extension of the first right mandibular (p = 0.073), distal interphalangeal of the fourth left (p = 0.083) and distal interphalangeal of the first left mandibular (p = 0.435 ). Conclusion: People with AJ associated with SLE had higher joint amplitude and lower palmar grip strength compared to those with SLE alone. These results suggest that there is still a need for complementary studies to observe the functionality of these people's hands.Key-Words: Systemic Lupus Erythematosus. Jaccoud Arthropathy. Muscular Strength. Goniometry. Deformity in hands RESUMO | Introdução: O lúpus eritematoso sistêmico (LES) é uma doença autoimune, crônica, de caráter difuso, que causa, dentre outros fatores, comprometimento articular A Artropatia de Jaccoud (AJ) é uma inflamação deformante e reversível, que ocorre nas articulações proximais, mais frequentemente observadas em membros superiores. A prevalência epidemiológica da AJ é de 5% para pacientes com LES. O mau alinhamento ou a perda de força podem limitar o movimento, gerar compensações e sobrecargas articulares. O diagnóstico funcional precoce pode auxiliar a reduzir a instalação das deformidades articulares. Objetivo: Comparar a amplitude de movimento e a força de preensão palmar em pessoas com e sem AJ associado LES. Métodos: Estudo transversal onde os pacientes foram alocados em dois grupos: com diagnóstico de LES e com diagnóstico de LES associado à AJ. Os instrumentos utilizados: dinamômetro, goniômetro de dedos e o goniômetro universal. Resultados: Participaram do estudo 67 mulheres com LES, das quais, 32 tinham AJ. As características sociodemográficas e clínicas dos grupos foram consideradas homogêneas para as variáveis analisadas. Foi observada uma diferença significativa entre os grupos, com exceção do grau de extensão da interfalangeana do primeiro quirodáctilo direito (p= 0,073), da interfalangeana distal do quarto q...

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Deforming Non-Erosive Arthritis of the Hand in Systemic Lupus Erythematosus

Cited by 37 publications

References 0 publications

Clinical features of the arthritis of mixed connective tissue disease

Clinical features of the arthritis of mixed connective tissue disease

Deforming arthritis in systemic lupus erythematosus.

Avaliação Funcional Da Mão Em Pessoas Com E Sem Artropatia De Jaccoud Associada Ao Lúpus

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