Document Detail

The prevalence of rheumatoid arthritis in a rural African population.
MedLine Citation:
PMID:  3379619     Owner:  NLM     Status:  MEDLINE    
We report the findings of an epidemiological study of the prevalence of rheumatoid arthritis (RA) in a rural population. The study was conducted in Venda, a very remote part of South Africa. Much of the population still follows an age old traditional lifestyle. A detailed hut-to-hut survey of 543 respondents comprising 97% of the population of one village was conducted. This included clinical, serological and radiological studies. This was supplemented by questioning local traditional doctors and showing them photographs of typical hand deformities to ascertain if they knew of any cases with these deformities. The 3 hospitals draining the area were also surveyed. The detailed survey of 543 respondents revealed no cases of definite or probable RA using a modification of the Rome criteria. No cases were recognized by the traditional doctors. The 3 hospitals together had 14 cases of definite RA out of a population of about 520,000. This gave a prevalence of 0.0026%. The marked difference in the prevalence of RA in this population as opposed to other Southern African studies as well as American and European studies is discussed.
S W Brighton; A L de la Harpe; D J van Staden; J H Badenhorst; O L Myers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  15     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  1988 Mar 
Date Detail:
Created Date:  1988-07-25     Completed Date:  1988-07-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  405-8     Citation Subset:  IM    
Department of Rheumatology, University of Pretoria, South Africa.
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MeSH Terms
Arthritis, Rheumatoid / epidemiology*
Health Surveys
Medicine, Traditional
Middle Aged
Rural Population*
South Africa

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