SavedAdd your journal

Journals / Turkish Journal of Rheumatology(.)Archives of Rheumatology / 2011 / Cilt: 26 - Sayı: 1

Eroziv Osteoartrit: Tedaviye Dirençli Bir Olgu Sunumu

Erosive Osteoarthritis: Presentation of a Treatment-Resistant Case

Hasan ULUSOY
GÜRKAN AKGÖL
Günseli KARACA ACET
ARZU KAYA
AYHAN KAMANLI
Pages
53–57
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A treatment-resistant case of EOA with marked and confusing inflammation is described in this report.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Erosive osteoarthritis (EOA) is a progressive disease affecting the interphalangeal joints of the hand.
📊
Key Findings & Data:It is also known as an inflammatory form of osteoarthritis.
💡
Conclusion & Impact:A treatment-resistant case of EOA with marked and confusing inflammation is described in this report.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Erosive osteoarthritis (EOA) is a progressive disease affecting the interphalangeal joints of the hand. It is also known as an inflammatory form of osteoarthritis. Pain, swelling, redness, warmth and limited function of the hand joints are commonly found in most patients with or without Heberden and Bouchard's nodes. Conventional radiographs of the hands show a combination of bony proliferation and erosions, which give characteristic patterns of the affected joints, known as "gull-wing" and "saw-tooth" deformities. Since there are no distinguishing laboratory findings between EOA and other common erosive interphalangeal arthropathies, radiographic features still have diagnostic value along with clinical presentation. Thus, recognition of the radiological manifestations may lessen the likelihood of misdiagnoses. A treatment-resistant case of EOA with marked and confusing inflammation is described in this report.

Özet

Eroziv osteoartrit (EOA) elin interfalangeal eklemlerini etkileyen ilerleyici bir hastalıktır. Aynı zamanda osteoartritin inflamatuvar bir formu olarak da bilinir. Ağrı, şişlik, kızarıklık, ısı artışı ve el eklemlerinde fonksiyon kaybı Heberden ve Bouchard nodülleri olan veya olmayan hastaların çoğunda bulunur. Konvansiyonel radyografilerde birlikte yeni kemik proliferasyonu ve erozyonlar görülür ve erozyonlara bağlı olarak, etkilenen eklemlerde "martı kanadı" ve "testere dişi" deformiteleri olarak bilinen karakteristik görüntüler oluşur. Eroziv osteoartrit ile diğer sık görülen eroziv interfalangeal artropatileri birbirinden ayıran hiçbir laboratuvar bulgusu olmadığından, radyolojik özellikler hala klinik bulguları ile birlikte tanısal değere sahiptir. Bu nedenle radyolojik bulguların iyi tespit edilmesi yanlış tanı olasılığını azaltabilir. Bu yazıda belirgin ve kafa karıştırıcı nitelikte bir inflamasyonun eşlik ettiği tedaviye dirençli bir EOA olgusu bildirildi.

🔖

Cite This Article

ULUSOY, H., AKGÖL, G., ACET, G. K., KAYA, A., KAMANLI, A. (2011). Eroziv Osteoartrit: Tedaviye Dirençli Bir Olgu Sunumu. Turkish Journal of Rheumatology(.)Archives of Rheumatology, Cilt: 26 - Sayı: 1, 53–57. https://ajindex.com/articles/375993

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Punzi L, Ramonda R, Sfriso P. Erosive osteoarthritis. Best Pract Res Clin Rheumatol 2004;18:739-58.
  2. Martel W, Stuck KJ, Dworin AM, Hylland RG. Erosive osteoarthritis and psoriatic arthritis: a radiologic comparison in the hand, wrist, and foot. AJR Am J Roentgenol 1980;134:125-35.
  3. Utsinger PD, Resnick D, Shapiro RF, Wiesner KB. Roentgenologic, immunologic, and therapeutic study of erosive (inflammatory) osteoarthritis. Arch Intern Med 1978;138:693-7.
  4. Mas AJ, Rotés-Querol J. Erosive osteoarthritis of the feet: description of two patients. Joint Bone Spine 2007;74:296-8.
  5. Keen HI, Wakefield RJ, Grainger AJ, Hensor EM, Emery P, Conaghan PG. Can ultrasonography improve on radiographic assessment in osteoarthritis of the hands? A comparison between radiographic and ultrasonographic detected pathology. Ann Rheum Dis 2008;67:1116-20.
  6. Vlychou M, Koutroumpas A, Malizos K, Sakkas LI. Ultrasonographic evidence of inflammation is frequent in hands of patients with erosive osteoarthritis. Osteoarthritis Cartilage 2009;17:1283-7. Ehrlich GE. Erosive osteoarthritis: presentation, clinical pearls, and therapy. Curr Rheumatol Rep 2001;3:484-8.
  7. Belhorn LR, Hess EV. Erosive osteoarthritis. Semin Arthritis Rheum 1993;22:298-306.
  8. Punzi L, Ramonda R, Oliviero F, Sfriso P, Mussap M, Plebani M, et al. Value of C reactive protein in the assessment of erosive osteoarthritis of the hand. Ann Rheum Dis 2005;64:955-7.
  9. Jacob J, Sartoris D, Kursunoglu S, Pate D, Pineda CJ, Braun RM, et al. Distal interphalangeal joint involvement in rheumatoid arthritis. Arthritis Rheum 1986;29:10-5.
  10. Morozzi G, Bellisai F, Fioravanti A, Galeazzi M. Absence of anti-cyclic citrullinated peptide antibodies in erosive osteoarthritis: further serological evidence of the disease as a subset of osteoarthritis. Ann Rheum Dis 2005; 64:1095-6.
  11. Martel W, Hayes JT, Duff IF. The pattern of bone erosion in the hand and wrist in rheumatoid arthritis. Radiology 1965;84:204-14.
  12. Moll JM, Wright V. Psoriatic arthritis. Semin Arthritis Rheum 1973;3:55-78.
  13. McGonagle D, Conaghan PG, Emery P. Psoriatic arthritis: a unified concept twenty years on. Arthritis Rheum 1999;42:1080-6.
  14. Martel W, Snarr JW, Horn JR. The metacarpophalangeal joints in interphalangeal osteoarthritis. Radiology 1973; 108:1-7.
  15. Resnick D, Niwayama G. Gouty arthritis. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: W.B. Saunders Company; 1995. p. 1511-55.
  16. Martel W, Champion CK, Thompson GR, Carter TL. A roentgenologically d