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Reumatologia

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https://www.readbyqxmd.com/read/29332968/50-years-of-the-polish-physician-writers-union
#1
(no author information available yet)
No abstract text is available yet for this article.
2017: Reumatologia
https://www.readbyqxmd.com/read/29332967/professor-henryka-ma%C3%A5-dyk-1924-2017
#2
(no author information available yet)
No abstract text is available yet for this article.
2017: Reumatologia
https://www.readbyqxmd.com/read/29332966/when-nuisance-is-nice-ignored-erythema-nodosa-heralding-the-l%C3%A3-fgren-s-syndrome-in-a-nigerian-woman
#3
Richard Oluyinka Akintayo, Olutobi Babatope Ojuawo, Christopher Muyiwa Opeyemi, Adeniyi Olatunji Aladesanmi
Löfgren's syndrome (LS) is a variant of sarcoidosis characterised by the triad of erythema nodosum (EN), radiographic bilateral hilar adenopathy, and arthralgia/arthritis. Like all cases of sarcoidosis, it is of unknown aetiology and may constitute a diagnostic difficulty in the ambiguous phenotype. Löfgren's syndrome is associated with a good prognosis and commonly undergoes spontaneous remission within four months. However, the co-existence of multiple good and adverse prognostic factors in a patient may call for guarded expectation...
2017: Reumatologia
https://www.readbyqxmd.com/read/29332965/two-clinical-cases-of-granulomatosis-with-polyangiitis-with-isolated-otitis-media-and-mastoiditis
#4
Georgi Kukushev, Desislava Kalinova, Ivan Sheytanov, Rasho Rashkov
Granulomatosis with polyangiitis (GPA) is characterised by granulomatous necrotising inflammatory lesions of the upper and lower respiratory tract, often associated with pauci-immune glomerulonephritis. The diagnosis of granulomatosis with polyangiitis is made according to the classification criteria of the ACR criteria for granulomatosis with polyangiitis. We present two cases of granulomatosis with polyangiitis limited/localised form. The common feature between two clinical cases were not sufficient criteria for a definite diagnosis at the beginning...
2017: Reumatologia
https://www.readbyqxmd.com/read/29332964/relapse-of-polymyalgia-rheumatica-after-a-fall
#5
Ciro Manzo, Maria Natale
Approximately half of PMR patients have a relapse with a necessity to increase GC dosages. The role of external factors in inducing PMR relapse have been poorly investigated. We present a case-series of five PMR patients in remission with low doses of glucocorticosteroids (GC), who presented with relapse immediately after a fall. The assessment of PMR relapse was made using PMR-AS by Leeb and Bird, and a score > 9.35 was consistent with diagnosis of relapse. Gender, age, and cumulative dose of GC at the time of the fall were compared between the group of these five patients and a group of 41 PMR patients who had no PMR relapse after a fall: using the Fischer's exact test a significant difference was pointed out when the p-value was < 0...
2017: Reumatologia
https://www.readbyqxmd.com/read/29332963/role-of-human-microbiome-and-selected-bacterial-infections-in-the-pathogenesis-of-rheumatoid-arthritis
#6
REVIEW
Ewa Roszyk, Mariusz Puszczewicz
Microorganisms inhabiting human body form a complex ecosystem. The mutual influence of the microbiome and the immune system of the host constitute the basis for numerous diseases, e.g. pseudomembranous colitis, inflammatory bowel disease, type 1 diabetes, atopic diseases, obesity, reactive arthritis. New molecular diagnostic methods and multi-center studies may help in understanding of the role of microbiota in health and disease. Rheumatoid arthritis has a multi-faceted etiology, and its causes are not entirely understood...
2017: Reumatologia
https://www.readbyqxmd.com/read/29332962/the-importance-of-physiotherapy-in-the-sexuality-of-patients-with-rheumatic-diseases
#7
REVIEW
Beata Żuk, Maria Maślińska
The sexuality of patients with rheumatic diseases is a significant interdisciplinary problem, requiring intensified action not only of rheumatologists, sexologists, and psychologists but also physiotherapists. The sexuality problems and motor disability in chronic diseases such as rheumatoid arthritis or ankylosing spondylitis, as well as other rheumatic diseases, are generally still taboo subjects, rarely discussed by physicians and physiotherapists. Lack of mobility, hormonal imbalance, fatigue, and accompanying decreased quality of life have an impact on sexual dysfunction...
2017: Reumatologia
https://www.readbyqxmd.com/read/29332961/the-usefulness-of-histopathological-examinations-of-non-renal-biopsies-in-the-diagnosis-of-granulomatosis-with-polyangiitis
#8
Anna Masiak, Zbigniew Zdrojewski, Rafał Pęksa, Żaneta Smoleńska, Zenobia Czuszyńska, Alicja Siemińska, Bożena Kowalska, Czesław Stankiewicz, Bolesław Rutkowski, Barbara Bułło-Piontecka
Introduction: Granulomatosis with polyangiitis (GPA) is a rare, ANCA-associated, systemic disease characterized by necrotizing small and medium vessel vasculitis of unknown etiology associated with granulomatous inflammation affecting the renal, pulmonary, upper airways, ocular systems and other tissues. Histological proof of the granulomatosis with polyangiitis (GPA) can be obtained by biopsy of clinically involved sites. The main purpose of this study was to examine histopathological changes in non-renal biopsies from patients with established diagnosis of GPA and evaluated the histological confirmation at diagnosis of this disease...
2017: Reumatologia
https://www.readbyqxmd.com/read/29332960/nutrition-and-quality-of-life-referring-to-physical-abilities-a-comparative-analysis-of-a-questionnaire-study-of-patients-with-rheumatoid-arthritis-and-osteoarthritis
#9
Jolanta Grygielska, Anna Kłak, Filip Raciborski, Małgorzata Mańczak
Objectives: A comparative analysis of opinions on diet and nutrition of patients suffering from rheumatoid arthritis (RA) and osteoarthritis (OA), and quality of life limited to physical abilities in both study groups. Material and methods: In the period from August to December 2012 an anonymous questionnaire survey was carried out among the patients of the Institute of Rheumatology. The respondents were asked to define their dietary preferences, dietary supplementation, and the level of physical limitations by completing the Health Assessment Questionnaire (HAQ)...
2017: Reumatologia
https://www.readbyqxmd.com/read/29332959/changes-in-body-composition-and-bone-mineral-density-in-postmenopausal-women-with-psoriatic-arthritis
#10
Magdalena Krajewska-Włodarczyk, Agnieszka Owczarczyk-Saczonek, Waldemar Placek
Objective: Prolonged inflammation status due to psoriatic arthritis (PsA) may contribute to the loss of muscle mass, extending from muscle weakness, and increased risk of falls and fractures. The risk of fractures and their complications increases with concomitant osteoporosis. Material and methods: The study included 95 women aged 50-75 years. The presence of sarcopenia was evaluated in a group of 51 women with PsA, and 44 controls (without inflammatory joint disease)...
2017: Reumatologia
https://www.readbyqxmd.com/read/29332958/kidney-involvement-in-antiphospholipid-syndrome-current-diagnostic-and-management-problems
#11
EDITORIAL
Maria Majdan
No abstract text is available yet for this article.
2017: Reumatologia
https://www.readbyqxmd.com/read/29056777/relapsing-granulomatosis-with-polyangiitis-with-severe-lung-and-upper-respiratory-tract-involvement-successfully-treated-with-rituximab
#12
Anna Masiak, Zbigniew Zdrojewski
Granulomatosis with polyangiitis (GPA) is a chronic, relapsing, primary systemic small vessel vasculitis associated with anti-neutrophil cytoplasmic antibodies. The disease is characterised by the involvement of various organs. The relapse rate rises from about 20% at 12 months to about 60% at 5 years. The combination of glucocorticoids and cyclophosphamide remains the standard therapy for patients with generalised GPA; nevertheless, some patients do not respond satisfactorily to this treatment. According to EULAR-EDTA recommendations for the management of ANCA-associated vasculitis, RTX should be considered for remission-induction of new-onset as well as major relapse of organ-threatening or life-threatening GPA...
2017: Reumatologia
https://www.readbyqxmd.com/read/29056776/cervical-spine-instability-in-the-course-of-rheumatoid-arthritis-imaging-methods
#13
REVIEW
Małgorzata Mańczak, Robert Gasik
Cervical spine is affected in more than a half of patients with rheumatoid arthritis (RA). Depending on the degree of damage to the individual joints and ligaments RA-related cervical spine instability takes the form of atlanto-axial subluxation, subaxial subluxation or cranial settling. In the advanced cases spinal stenosis can occur as well as spinal cord injuries with typical neurological symptoms. The identification of patients with cervical spine instability before the occurrence of neurological complications still constitutes a diagnostic challenge...
2017: Reumatologia
https://www.readbyqxmd.com/read/29056775/complex-diagnostics-of-common-conditions-of-the-motor-organ-of-the-developmental-age
#14
REVIEW
Iwona Słowińska
Some muscular and osteoarticular diseases pose serious diagnostic problems, e.g. subsequent recurrent or persistent conditions of isolated pain in the extremities, most frequently - in the lower extremities, especially knee joints, and isolated pain in the back, usually in the lumbosacral spine. They are often accompanied by gait abnormalities. The paper herein presents a complex differential diagnosis of these conditions, the presented diseases that can cause them, and the role of the family doctor, paediatrician, orthopaedist, and rheumatologist in the diagnosis...
2017: Reumatologia
https://www.readbyqxmd.com/read/29056774/glucocorticoid-management-in-rheumatoid-arthritis-morning-or-night-low-dose
#15
REVIEW
Sabrina Paolino, Maurizio Cutolo, Carmen Pizzorni
Morning symptoms of rheumatoid arthritis (RA) are linked to circadian increase of night inflammation, supported by inadequate cortisol secretion in active disease. Therefore, exogenous glucocorticoid administration in RA is recommended by EULAR and ACR from the beginning of the diagnosis, since may partially act like a "replacement therapy". In addition, the prevention/treatment of the night up-regulation of the immune/inflammatory reaction has been shown more effective when exogenous glucocorticoid administration is managed with a night-time-release formulation...
2017: Reumatologia
https://www.readbyqxmd.com/read/29056773/investigating-mental-health-in-patients-with-osteoarthritis-and-its-relationship-with-some-clinical-and-demographic-factors
#16
Masoumeh Nazarinasab, Azim Motamedfar, Azin Eskandari Moqadam
OBJECTIVE: The reduction in the level of mental health, particularly depression is associated with outcome of treatment in patients with osteoarthritis (OA). There is no broader research into mental health or mental health care for OA patients. The purpose of the present study was to determine mental health and its relationship with some clinical and demographic factors among patients with OA. MATERIAL AND METHODS: 94 patients with osteoarthritis were included in presented study...
2017: Reumatologia
https://www.readbyqxmd.com/read/29056772/the-role-of-ultrasonography-in-monitoring-long-standing-rheumatoid-arthritis-a-pilot-study
#17
Sławomir Jeka, Marta Dura, Paweł Żuchowski, Beata Zwierko, Rafał Wojciechowski
OBJECTIVE: Rheumatoid arthritis (RA) is a condition that poses many diagnostic problems. As a result, it is often diagnosed too late, which makes effective treatment more difficult. The course of the disease is chronic, and it causes irreversible changes in the musculoskeletal system, as well as bone destruction, and this in turn impairs the proper monitoring of the treatment. Therefore, in order to assess the treatment's efficacy, as well as a clinical examination of the patient and laboratory tests, diagnostic imaging is being used more frequently in routine practice...
2017: Reumatologia
https://www.readbyqxmd.com/read/29056771/diagnostic-delays-in-rheumatic-diseases-with-associated-arthritis
#18
Filip Raciborski, Anna Kłak, Brygida Kwiatkowska, Bogdan Batko, Małgorzata Sochocka-Bykowska, Aleksandra Zoń-Giebel, Zbigniew Gola, Zbigniew Guzera, Maria Maślińska
OBJECTIVE: The objective of this study was to determine the length of delay in diagnosis of inflammatory rheumatic diseases, and to indicate the main factors responsible for such delays. MATERIAL AND METHODS: A retrospective multi-centre questionnaire survey carried out among 197 patients with diagnosed inflammatory rheumatic diseases or undergoing the diagnostic process. RESULTS: The most common early symptoms of inflammatory rheumatic disease included joint pain (94%), joint swelling (78%), morning joint stiffness (77%), fatigue (76%), and sleep disturbed by joint pain (74%)...
2017: Reumatologia
https://www.readbyqxmd.com/read/29056770/assessment-of-hospitalization-and-mortality-of-scleroderma-in-patients-a-thirteen-year-study
#19
Saeedeh Shenavandeh, Razieh Naseri
OBJECTIVE: Systemic sclerosis (SSc) is an uncommon non-hereditary sporadic disease that increases the risk of premature death, especially in diffuse type. We determined the prevalence of SSc in the last 13 years in our rheumatologic hospitals as a referral center for southern Iranian patients, the causes of hospitalization, the average length of stay (LOS), the mortality rate, and the reason for their mortality. MATERIAL AND METHODS: A cross-sectional study was performed in Shiraz University of Medical Sciences, Iran...
2017: Reumatologia
https://www.readbyqxmd.com/read/29056769/disease-activity-in-axial-spondyloarthritis-after-discontinuation-of-tnf-inhibitors-therapy
#20
Agata Sebastian, Patryk Wojtala, Łukasz Lubiński, Małgorzata Mimier, Arkadiusz Chlebicki, Piotr Wiland
OBJECTIVE: Use of tumour necrosis factor inhibitors (TNFi) has proved to be an important step forward in the treatment of axial spondyloarthritis (axSpA), but the duration of the therapy as well as the management in case of low disease activity (LDA) or remission are not clearly established. Currently, the identification of potential predictors associated with the treatment discontinuation is the basic purpose of many clinical studies. The aim of this study was to analyze the influence of the discontinuation of TNFi therapy on the disease activity in patients with low disease activity...
2017: Reumatologia
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