[Systemic sclerosis - diagnosis and classification].

Abstract:

:Systemic sclerosis (SSc) is a polymorphic and heterogenic systemic disorder with inflammation, fibrosis and vascular damage. Early diagnosis and classification may be difficult if disease expression is oligosymptomatic (undifferentiated), presenting with only Raynaud's phenomenon or limited scleroderma. Scleroderma specific antinuclear autoantibodies, which are present early and persistently in about 90% of the patients with SSc, play an important taxonomic role. Scleroderma specific findings in nailfold capillary microscopy are sensitive and predictive for evolving SSc. An algorithm will be presented for the diagnosis and classification of SSc using clinical, capillaroscopic and serologic criteria, which are also useful for mixed or special forms of SSc. The 6th Outcome Measures in Rheumatology Clinical Trials (OMERACT) conference proposed different outcome measurements for clinical studies, however, for daily clinical practice there is as yet no consensus on status indices for disease activity, disease related damage or suitable prognostic criteria.

journal_name

Z Rheumatol

authors

Genth E,Krieg T

doi

10.1007/s00393-006-0065-0

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

268-74

issue

4

eissn

0340-1855

issn

1435-1250

journal_volume

65

pub_type

杂志文章,评审
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    authors: Görlitz N,Berzon R,Rössner B,Wessel G,Jäckel R

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  • [Still's disease in children and adults].

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    journal_title:Zeitschrift fur Rheumatologie

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    doi:

    authors: Kashiwazaki S

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  • [German patient version of the ASAS/EULAR recommendations for the management of ankylosing spondylitis].

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  • [Rare autoimmune rheumatic illnesses during pregnancy. Systemic sclerosis, polymyositis/dermatomyositis and vasculitis].

    abstract::Autoimmune rheumatic diseases (ARD) affect young females during childbearing age. Over the last decades, improvements in survival as well as quality of life in patients affected with ARD have led to an increased number of pregnancies observed during the course of such diseases. Systemic lupus erythematosus (SLE) is th...

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    doi:10.1007/s00393-006-0059-y

    authors: Doria A,Iaccarino L,Ghirardello A,Arienti S,Zampieri S,Rampudda ME,Tincani A,Todesco S

    更新日期:2006-05-01 00:00:00

  • [The course and topography of pain in generalized tendomyopathies].

    abstract::The generalized tendomyopathy (fibromyalgia) is characterized by the characteristic picture of multilocular pain symptoms, severe pressure-type pain in the tendon insertions and muscles, vitality deficiency, sleep disturbance and other vegetative disorders as well as functional complaints and is often also characteriz...

    journal_title:Zeitschrift fur Rheumatologie

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    doi:

    authors: Brückle W,Lautenschläger J,Müller W

    更新日期:1991-01-01 00:00:00

  • [Trends in rehabilitation of patients with rheumatic diseases in Germany].

    abstract::Recent Deutsche Gesellschaft für Rheumatologie (DGRh, German Society of Rheumatology) guidelines emphasized the significance of coordinated multidisciplinary care and rehabilitation of patients with inflammatory rheumatic diseases. Nationwide data from the German pension insurance funds showed that inpatient rehabilit...

    journal_title:Zeitschrift fur Rheumatologie

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  • Association of HLA-G polymorphisms with systemic lupus erythematosus and correlation between soluble HLA‑G levels and the disease: a meta-analysis.

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    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

    doi:

    authors: Lagier R,Mac Gee W

    更新日期:1979-11-01 00:00:00

  • [Ultrasound and arthritis].

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    doi:

    authors: Meijers KA,Eulderink F,van de Putte LB,Wiersema-van Gogh H,de Vries E,Cats A

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  • [Health economic aspects of a stratified medicine for rheumatoid arthritis].

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    journal_title:Zeitschrift fur Rheumatologie

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    authors: Frank M,Mittendorf T

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  • [Virus-associated arthritis].

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  • [Glycosaminoglycanpolysulfate (GAGPS, Arteparon) for basic therapy of arthrosis. II. Comparative studies, Arteparon forte and physical therapy vs. physical therapy alone; late results].

    abstract::Five to 9 months after a comparative study of 2 groups of patients with coxarthrosis and gonarthrosis, 69 individuals (group 1) receiving Arteparon forte injections and physical therapy and 46 persons (group 2) with physical therapy only, questioneer with specific questions was sent out. From 72 questioneers mailed 55...

    journal_title:Zeitschrift fur Rheumatologie

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    authors: Rau E,Schmid C,Bach GL

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  • Comparison of antinuclear antibody determinations in unselected sera by consumption test and immunofluorescence.

    abstract::The correlation of the determination of antinuclear antibodies, as shown by consumption tests and immunofluorescence was investigated in a collective of 100 sera of patients suspected for SLE, collagenosis and rheumatoid arthritis, sent for routine screening investigation. The results of both methods correlated in 78%...

    journal_title:Zeitschrift fur Rheumatologie

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  • [Studies on mobility and prognosis in spondylitis ankylosans].

    abstract::278 patients with ankylosing spondylitis have been studied in order to find a basis for prognosis by setting a mobility function index of the vertebral column. This index does not depend on manifestation age or on the blood sedimentation rate. It increases with progression of x-ray findings. A coincidence of impaired ...

    journal_title:Zeitschrift fur Rheumatologie

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    doi:

    authors: Schöffel J,Pohl W

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  • [Why rheumatoid arthritis needs cardiologists].

    abstract::Rheumatoid arthritis (RA) is associated with a shortened life expectancy. Most premature deaths are caused by cardiovascular (CV) events; therefore it is of importance to consider the increased CV risk when treating RA patients. Traditional CV risk factors cannot fully explain the increased risk but the common underst...

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  • [Elimination half-life and serum protein binding of the anti-rheumatism agent naproxen in kidney failure].

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    doi:

    authors: Held H

    更新日期:1979-03-01 00:00:00

  • [Traumatic finger polyarthrosis in judo athletes: a follow-up study].

    abstract::Osteoarthritis is the most common joint disease. In addition to known risk factors e.g. genetics, age and hormonal status it has been suggested that chronic-repetitive micro- and substantial (macro-) injury may play an important pathogenetic role. In a longitudinal case-study we examined Judo-players for clinical and ...

    journal_title:Zeitschrift fur Rheumatologie

    pub_type: 杂志文章

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    authors: Strasser P,Hauser M,Häuselmann HJ,Michel BA,Frei A,Stucki G

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  • [Therapy of juvenile chronic arthritis with sulfasalazine].

    abstract::Sulfasalazine was used as second line agent in 15 children with different forms of rheumatoid arthritis. In 9 cases amelioration could be achieved with respect to clinical symptoms as well as laboratory parameters. Thus, sulfasalazine can be recommended as basic medication also in juvenile rheumatoid arthritis. ...

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    authors: Suschke HJ

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  • [Medical treatment of rheumatoid arthritis in 2014 : Current data from the German Collaborative Arthritis Centers].

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  • [Blood pressure in arm and finger arteries in rheumatoid arthritis].

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    pub_type: 杂志文章

    doi:

    authors: Beste KW

    更新日期:1985-05-01 00:00:00

  • [Progressive multifocal leukoencephalopathy and rheumatic disease].

    abstract::Progressive multifocal leukoencephalopathy (PML) is a rare but often fatal demyelinating disease of the central nervous system induced by the JC virus. It mainly occurs in immunocompromised patients. Growing interest in rheumatology has arisen from reports of patients with rheumatic diseases suffering from PML. A dire...

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  • Comparison of the efficacy and safety of tofacitinib and baricitinib in patients with active rheumatoid arthritis: a Bayesian network meta-analysis of randomized controlled trials.

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  • [Fabry disease, a disease with rheumatic aspects: radiology of soft tissue and bone changes in the hand].

    abstract::Fabry's disease is a hereditary lipid storage disease with deposition of ceramides in nearly all tissues. The lipid deposition in the skin and the synovial compartments causes an enlargement of the skin, the joint capsules and the tendon sheaths, which are recognizable by low KV radiography. The bones of the hand main...

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    pub_type: 杂志文章

    doi:

    authors: Fischer E

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  • [Common German language nomenclature for systemic sclerosis].

    abstract::Large data bases and the projects arising from them have led to a much improved understanding of systemic sclerosis over the last decade. Serology has developed further so that more autoantibodies are available for routine testing. Capillary microscopy has become standard and relevant progress has also been made in th...

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  • [Safety of antirheumatic drug treatment in the elderly].

    abstract::Mainly due to the general demographic changes and decreasing mortality in rheumatic diseases based on therapeutic progress, the proportion of older patients treated by rheumatologists is growing. Drug treatment in the elderly, however, harbors certain risks including age-specific pharmacokinetic features and high rate...

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