Symmetrical joint involvement.

Bywaters, E. G. L.

doi:10.1136/ard.34.4.376

Annals of the Rheumatic Diseases

1975

DOI: 10.1136/ard.34.4.376

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Symmetrical joint involvement.

E. G. L. Bywaters¹

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Cited by 7 publications

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Reiter's disease in northern India

et al. 1983

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Thirty-six patients fulfilling the criteria for Reiter's disease were studied (29 men and 7 women; 4:1). The mean age of onset was 23.8 years; in 75% of patients the onset was in the second and third decades. Clinical manifestations included low back pain and stiffness (69%), non specific urethritis (53%), heel pain (44%), radiographic sacroiliitis (42%), conjunctivitis (39%), dysentery and diarrhoea (33%), mucosal ulcerations (17%) kidney disease (14%), anterior uveitis (19%), and keratoderma blennorrhagicum (8%). Peripheral arthritis was mono or oligoarthritis in 58% of patients, mainly affecting the large joints of lower extremities, and it was often asymmetric (mean degree of asymmetry = 0.37). HLA-B27 antigen was detected in 83% of 36 patients compared with 5.9% of 118 controls (relative risk 79, corrected Fisher's P = 7.719E-18).

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Reiter's disease in northern India

et al. 1983

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Clinical characteristics of peripheral spondyloarthritis without psoriasis, inflammatory enteropathy or preceding infection, from a single rheumatology clinic in northern India

Malaviya¹,

Agrawal²,

Patil³

2017

Clin Rheumatol

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The objective of this study was to characterise the peripheral arthritis of spondyloarthritis (pSpA) excluding psoriatic-, inflammatory enteropathy-related, post-infectious reactive-SpA and arthritis associated with axial SpA/ankylosing spondylitis (axSpA/AS). Patients presenting with the clinical features of the broad spectrum of SpA were screened for the presence of peripheral arthritis using the Assessment of SpondyloArthritis International Society (ASAS) criteria. The other conditions that could cause pSpA, e.g. psoriasis, inflammatory enteropathy, reactive arthritis and axSpA/AS, were excluded. Their assessment included clinical, laboratory and imaging features. Of a total of 405 patients seen within the spectrum of SpA, 25 (6.2%) patients were identified as pSpA with none of the conditions that could be attributed to their disease. The male to female ratio was 2.6:1; the pattern of involvement was predominantly lower extremity asymmetrical large joint oligoarthritis in persons below the age of 40 years (60% were <30 years of age). Some had soft tissue and/or extra-articular manifestations characteristic of SpA (36%) and family history (20%) of SpA spectrum of diseases. When compared to peripheral arthritis reported in axial axSpA/AS, root/central joint involvement was minimal in pSpA. Otherwise, the pattern of arthritis appeared similar. Exclusive peripheral arthritis without the presence of the other disease-defining conditions is uncommon, seen only in 6.2% of the SpA spectrum diseases. The pattern of joint involvement was similar to that observed with axSpA/AS except that the root/central joints were not seen.

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Asymmetry of small joint involvement in rheumatoid arthritis: prevalence and tendency towards symmetry over time

2005

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Symmetrical joint involvement.

Cited by 7 publications

References 1 publication

Reiter's disease in northern India

Reiter's disease in northern India

Clinical characteristics of peripheral spondyloarthritis without psoriasis, inflammatory enteropathy or preceding infection, from a single rheumatology clinic in northern India

Asymmetry of small joint involvement in rheumatoid arthritis: prevalence and tendency towards symmetry over time

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