Rheumatic syndromes in endocrine disease

Bland, John H.; Frymoyer, John W.; Newberg, Arthur H.; Revers, Robert R.; Norman, Richard

doi:10.1016/0049-0172(79)90002-7

Cited by 59 publications

(28 citation statements)

References 211 publications

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“…Thus TSH elevation seems to be necessary for the presentation. This observation also supports the response to thyroid hormone replacement, with concomitant TSH suppression 21 .…”

Section: Arthritis In Aitdsupporting

confidence: 53%

“…Anterior chest wall pain has also been reported. It is unclear how many of these symptoms are actually a reflection of the FM reported in more recent publications 21 .…”

Section: Arthritis In Aitdmentioning

confidence: 96%

“…This form of arthritis is frequently described as an accompaniment to hypothyroidism. It has been reviewed by Bland and others 21 and typically affects the knees, metacarpophalangeal joints, proximal interphalangeal joints, and metatarsophalangeal joints without the presence of inflammatory synovitis. There is thought to be a TSH-dependent increase in hyaluronic acid and proteoglycan synthesis in this subgroup of hypothyroid patients.…”

Section: Arthritis In Aitdmentioning

confidence: 99%

“…The possibility of spinal degenerative disease in CLT has been lumped together with reports of neck pain in the literature 21 . In our own experience of patients' autoimmune thyroiditis in usual care, 29 patients with a diagnosis of autoimmune thyroiditis with no evidence of thyroid dysfunction were seen in our outpatient rheumatology clinic for a primary complaint of pain (arthralgias, myalgias) between 2006 and 2009.…”

Section: Spinal Degenerative Disc Disease In Aitdmentioning

confidence: 99%

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Rheumatic Manifestations of Autoimmune Thyroid Disease: The Other Autoimmune Disease

2012

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Autoimmune thyroid disease (AITD) is an inflammatory thyroiditis that in some cases is characterized by lymphocytic infiltration of the thyroid gland, also referred to as chronic lymphocytic thyroiditis or Hashimoto thyroiditis. Hashimoto thyroiditis is one of the commonest causes of hypothyroidism. Hypothyroidism has been associated with osteoarthritis (OA) and inflammatory forms of arthritis and with several well defined connective tissue diseases, which in turn can cause arthritis. The presence of arthritis in patients with AITD with normal thyroid function is now being increasingly recognized. There is also considerable evidence to suggest that AITD is highly associated with fibromyalgia syndrome. We review the current literature on the rheumatologic manifestations of AITD and describe the features in its presentation that set it apart from other forms of autoimmune arthritis.

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“…Thus TSH elevation seems to be necessary for the presentation. This observation also supports the response to thyroid hormone replacement, with concomitant TSH suppression 21 .…”

Section: Arthritis In Aitdsupporting

confidence: 53%

“…Anterior chest wall pain has also been reported. It is unclear how many of these symptoms are actually a reflection of the FM reported in more recent publications 21 .…”

Section: Arthritis In Aitdmentioning

confidence: 96%

Section: Arthritis In Aitdmentioning

confidence: 99%

Section: Spinal Degenerative Disc Disease In Aitdmentioning

confidence: 99%

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Rheumatic Manifestations of Autoimmune Thyroid Disease: The Other Autoimmune Disease

2012

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“…Resnick (5) and others (8,22,23) have suggested that the joint erosions and synovial irritation may result from an extension of subperiosteal resorption along the shaft of bone into the joint. A third theory postulates the rupture of an osteoclastic brown tumor into the joint space with the production of a secondary reactive synovitis (25). Ligamentous laxity and joint instability resulting from the effect of parathyroid hormone on ligaments, capsules, and tendons may also contribute to joint abnormalities in these patients (24).…”

Section: Discussionmentioning

confidence: 99%

Erosive azotemic osteoarthropathy

Rubin

Fam

Rubenstein

et al. 1984

Arthritis & Rheumatism

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Fifty-nine patients with end-stage renal disease undergoing long-term dialysis were studied prospectively for joint disease. Radiographic assessment allowed division of patients into 3 groups: group 1 included 12 patients with renal osteodystrophy and erosions of the metacarpophalangeal, proximal interphalangeal, distal interphalangeal, shoulder, wrist, and knee joints; group 2 had 11 patients with renal osteodystrophy without articular erosions; group 3 included 36 patients without osteodystrophy or erosions. Clinical manifestations were frequent in patients of group 1 and included episodes of arthralgias of the metacarpophalangeal, wrist, proximal interphalangeal, and knee joints. Patients of groups 1 and 2, particularly those of group 1, had a longer mean duration of dialysis and a higher mean serum alkaline phosphatase level compared with group 3 patients. The study indicates that there is a relatively high incidence (20%) of erosive arthropathy in dialysis patients. Renal osteodystrophy, more specifically, secondary hyperparathyroidism, and duration of dialysis are important factors in the development of this articular disorder. A number of skeletal and articular abnormalities have been described in patients with chronic renal failure who were undergoing maintenance dialysis (1-4). Included among these are changes of renal osteodystrophy (secondary hyperparathyroidism, osteomalacia, osteosclerosis, and osteoporosis), periarticular calcifications, ischemic osteonecrosis, and crystalinduced arthritis (1-4).Recently, an erosive arthritis of the hands and wrists has been reported in patients with renal failure and secondary hyperparathyroidism (5-8). In order to determine the prevalence and significance of these osteoarticular abnormalities, we conducted a clinical, radiographic, and laboratory study of 59 patients with end-stage renal disease w h o were undergoing maintenance dialysis. PATIENTS AND METHODSFifty-nine consecutive patients with chronic renal failure who were undergoing maintenance dialysis at Sunnybrook Medical Centre between 1979 and 1982 were studied.There were 38 men and 21 women, with a mean age of 54.5 years (range 24-79). Forty-one patients were being treated by hemodialysis, and 18 were being treated by peritoneal dialysis. The renal failure etiologies included 19 patients with glomerulonephritis, 12 with hypertensive nephropathy, 9 with polycystic kidney diseass.,? with chronic pyelonephritis, 2 with Alport's syndrome, 2 with obstructive uropathy, and 8 with etiology unknown. None of the patients had clinical or serologic evidence of a systemic disorder or a generalized connective tissue disease known to be associated with a rheumatic syndrome, e.g., systemic lupus erythematosus, scleroderma, etc.Rheumatologic evaluations were conducted by 2 assessors (LAR and AGF) on every patient at study entry and, subsequently, on those who developed joint symptoms. Particular attention was directed to the presence of joint

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Diagnostic Dilemmas in Polymyalgia Rheumatica

Brooks

McGee²

1997

Arch Intern Med

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Polymyalgia rheumatica is a clinical syndrome of proximal muscle pain in older patients that often presents a diagnostic challenge because of the large differential diagnosis, lack of definitive diagnostic criteria, and relatively frequent "atypical" clinical findings, such as peripheral synovitis, distal extremity pain, normal erythrocyte sedimentation rate, and mild weakness. Despite an extensive differential diagnosis that includes endocarditis and steroid-responsive malignant neoplasms, routine laboratory testing should be limited, and a low-dose corticosteroid trial is useful as the final step in the evaluation. The clinical overlap with seronegative rheumatoid arthritis is striking, suggesting that these diagnoses may represent different presentations of a similar disease process. While concurrent asymptomatic temporal arteritis is common, there are no data to support obtaining a temporal artery biopsy in patients with pure polymyalgia rheumatica symptoms.

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Rheumatic syndromes in endocrine disease

Cited by 59 publications

References 211 publications

Rheumatic Manifestations of Autoimmune Thyroid Disease: The Other Autoimmune Disease

Rheumatic Manifestations of Autoimmune Thyroid Disease: The Other Autoimmune Disease

Erosive azotemic osteoarthropathy

Diagnostic Dilemmas in Polymyalgia Rheumatica

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