Document Detail

Prevalence of mutilans-like hand deformities in patients with seropositive rheumatoid arthritis. A prospective 20-year study.
MedLine Citation:
PMID:  10092163     Owner:  NLM     Status:  MEDLINE    
This study examined radiographically the prevalence of arthritis mutilans hand deformities in an inception cohort of 68 rheumatoid arthritis (RA) patients. Hand deformities of 103 RF-positive RA patients were evaluated after 8 years, 83 patients after 15 years and 68 patients 20 years after entry. The grade of destruction in the hand joints was assessed by the Larsen method and Larsen scores of 0-50 were determined for both PIP (+IP) and MCP joints. At the end point, 3 patients had Larsen scores > or =40 for both PIP and MCP joints. These three patients had severe resorption in most of the finger joints, but did not demonstrate classical opera-glass hand. The prevalence of mutilans-like hand deformities with RA was 3/68 (4.4%) in a prospective 20-year study.
M Yoshida; E A Belt; K Kaarela; M J Kauppi; T Shimamura
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Scandinavian journal of rheumatology     Volume:  28     ISSN:  0300-9742     ISO Abbreviation:  Scand. J. Rheumatol.     Publication Date:  1999  
Date Detail:
Created Date:  1999-04-07     Completed Date:  1999-04-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0321213     Medline TA:  Scand J Rheumatol     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  38-40     Citation Subset:  IM    
Department of Orthopaedic Surgery and Rheumatology, Iwate Medical University, Morioka, Japan.
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MeSH Terms
Arthritis, Rheumatoid / complications,  epidemiology*,  pathology
Bone Resorption / etiology,  pathology
Finger Joint / pathology,  radiography
Finland / epidemiology
Hand Deformities / complications,  epidemiology*,  pathology
Joint Deformities, Acquired / complications,  epidemiology*,  pathology
Prospective Studies

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