Clinical characteristics of human brucellosis in patients with various monoarticular involvements.

Abstract:

:The aim of the study was to determine the main demographic, epidemiological, clinical characteristics, and outcome in patients with various types of brucellar monoarticular involvement. Retrospectively, we analyzed medical histories of 331 patients with brucellar monoarticular involvement who were treated at the infectious diseases departments in Prilep, Shtip, and Veles, Republic of Macedonia, during the period 1990-2012. Their data were compared accordingly to the affected joint (sacroiliac, hip, knee, ankle, wrist, and shoulder).Patients with shoulder arthritis were significantly the oldest (mean ± standard deviation [SD] 46.0 ± 14.5 years) whereas sacroiliitis and hip arthritis were present predominantly in younger patients (mean ± SD 28.7 ± 14.1 and 28.3 ± 18.3 years, respectively) (p = 0.014). Shoulder arthritis duration was significantly the longest (mean ± SD 24.5 ± 12.4 days), and wrist arthritis duration was significantly the shortest (mean ± SD 4.1 ± 2.5 days) (p < 0.001), before establishing the diagnosis of brucellosis. With appropriate treatment, the need for restitution of the joint impairment was significantly longer when sacroiliitis and hip arthritis were present (mean ± SD 32.8 ± 23.0 and 24.6 ± 12.5 days, respectively) (p < 0.001). The relapses were noted in 14.5, 14, 16.5, 5.5, 6, and 5.5 % of the patients with sacroiliitis, hip-, shoulder-, knee-, ankle-. and wrist arthritis, respectively. In endemic areas, brucellosis should be included in the differential diagnostic consideration in patients with monoarticular involvement. Knee-, ankle-, and wrist arthritis seem to be more benign and with appropriate treatment result in short duration and satisfactory outcome. On the other hand, the involvement of sacroiliac, hip-, and shoulder joint deserves more serious approach due to longer arthritis duration and higher frequency of relapses.

journal_name

Clin Rheumatol

journal_title

Clinical rheumatology

authors

Bosilkovski M,Zezoski M,Siskova D,Miskova S,Kotevska V,Labacevski N

doi

10.1007/s10067-016-3207-z

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

2579-84

issue

10

eissn

0770-3198

issn

1434-9949

pii

10.1007/s10067-016-3207-z

journal_volume

35

pub_type

杂志文章
  • Polymyositis associated with several immunological disorders.

    abstract::A case of polymyositis associated with scleroderma, adult coeliac disease, diabetes mellitus and IgA nephropathy is reported in a 33-year-old male. ...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/BF02031278

    authors: Vilppula AH,Aine RA

    更新日期:1984-12-01 00:00:00

  • Urine macrophage migration inhibitory factor in pediatric systemic lupus erythematosus.

    abstract::We reported a series of ten patients with lupus nephritis (five patients in the relapse phase and five in the remission phase) and measured the macrophage migration inhibitory factor (MIF), an important pro-inflammatory cytokine with probable role in the pathogenesis of many inflammatory diseases, in their urine sampl...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-007-0632-z

    authors: Otukesh H,Chalian M,Hoseini R,Chalian H,Hooman N,Bedayat A,Yazdi RS,Sabaghi S,Mahdavi S

    更新日期:2007-12-01 00:00:00

  • Comparison of effectiveness and safety of infliximab, etanercept, and adalimumab in psoriatic arthritis patients who experienced an inadequate response to previous disease-modifying antirheumatic drugs.

    abstract::The aim of this study is to compare effectiveness and safety of Infliximab (INF), Etanercept (ETN), and Adalimumab (ADA) in patients with psoriatic arthritis (PsA) with inadequate response to a previous disease-modifying antirheumatic drug (DMARD). One hundred consecutive PsA patients with inadequate response to a pre...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s10067-009-1340-7

    authors: Atteno M,Peluso R,Costa L,Padula S,Iervolino S,Caso F,Sanduzzi A,Lubrano E,Del Puente A,Scarpa R

    更新日期:2010-04-01 00:00:00

  • Can procalcitonin be used to distinguish between disease flare and infection in patients with systemic lupus erythematosus: a systematic literature review.

    abstract::Distinction between infection and febrile disease flare in patients with systemic lupus erythematosus (SLE) is fundamental but often difficult to make, because clinical presentation can be similar. A systematic review of all articles indexed in PubMed through October 2013 was performed, in order to examine the potenti...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章,评审

    doi:10.1007/s10067-014-2738-4

    authors: Serio I,Arnaud L,Mathian A,Hausfater P,Amoura Z

    更新日期:2014-09-01 00:00:00

  • Methotrexate-treated arthritis and lymphoproliferative disease--coincidence only?

    abstract::This paper describes four patients with inflammatory joint diseases treated with methotrexate who developed lymphoma either of unusual type or with bizarre clinical features. The pathogenesis of this unusual condition is discussed and the difficulty in differentiating it from the features of the initial disease is emp...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s100670170112

    authors: Braun-Moscovici Y,Schapira D,Balbir-Gurman A,Nahir AM

    更新日期:2001-01-01 00:00:00

  • Malignancy as a comorbidity in rheumatic diseases: a retrospective hospital-based study.

    abstract::Patients with Rheumatic diseases (RDs) are at an increased risk of malignancies compared with the general population. The aim of this study was to examine the relative frequency of several cancers in a single homogeneous cohort of patients with different RDs. Patients diagnosed with rheumatoid arthritis (RA), Ankylosi...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-017-3676-8

    authors: Wang HL,Zhou YM,Zhu GZ,Yang Z,Hua BJ

    更新日期:2018-01-01 00:00:00

  • Occurrence of anti-CCP2 and RF isotypes and their relation to age and disease severity among Sudanese patients with rheumatoid arthritis.

    abstract:OBJECTIVE:Anti-cyclic citrullinated peptide 2 antibodies (anti-CCP2) and rheumatoid factor (RF) in rheumatoid arthritis (RA) has been extensively assessed in industrialized countries. We investigated the diagnostic and prognostic impact of anti-CCP2 and RF isotypes in a Sudanese cross-sectional RA cohort. METHODS:Cons...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10067-019-04431-6

    authors: Elshafie AI,Elbagir S,Aledrissy MIE,Elagib EM,Nur MAM,Rönnelid J

    更新日期:2019-06-01 00:00:00

  • Biomarkers for diagnosis, monitoring of progression, and treatment responses in ankylosing spondylitis and axial spondyloarthritis.

    abstract::With the growing awareness of the impact of chronic back pain and axial spondyloarthritis and recent breakthroughs in genetics and the development of novel treatments which may impact best on early disease, the need for markers that can facilitate early diagnosis and profiling those individuals at the highest risk for...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章,评审

    doi:10.1007/s10067-015-2949-3

    authors: Reveille JD

    更新日期:2015-06-01 00:00:00

  • Iron-binding proteins and free iron in synovial fluids of rheumatoid arthritis patients.

    abstract::Iron-binding proteins (lactoferrin, transferrin and ferritin) and free iron were measured in synovial fluid (SF) from 30 patients with rheumatoid arthritis (RA) and 20 osteoarthritis (OA) patients. The iron-binding proteins except transferrin were significantly increased in RA SF as compared with OA SF. Similarly, fre...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/BF02030347

    authors: Ahmadzadeh N,Shingu M,Nobunaga M

    更新日期:1989-09-01 00:00:00

  • Evolution of chronic kidney disease in patients with systemic lupus erythematosus over a long-period follow-up: a single-center inception cohort study.

    abstract::The objective is to investigate the accrual rate and risk factors of chronic kidney disease (CKD) in an inception cohort of patients with systemic lupus erythematosus (SLE) followed at a single tertiary center. A prospectively collected database of 256 consecutive patients with SLE followed over a 25-year period was s...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-014-2527-0

    authors: Pokroy-Shapira E,Gelernter I,Molad Y

    更新日期:2014-05-01 00:00:00

  • Correction to: The ultrasonographic study of the nail reveals differences in patients affected by inflammatory and degenerative conditions.

    abstract::The original published version of this article contained the incorrect Table 2 and are now presented correctly in this article. ...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章,已发布勘误

    doi:10.1007/s10067-020-04926-7

    authors: Idolazzi L,Zabotti A,Fassio A,Errichetti E,Benini C,Vantaggiato E,Rossini M,De Vita S,Viapiana O

    更新日期:2020-04-01 00:00:00

  • Diagnostic test accuracy of magnetic resonance imaging and ultrasound for detecting bone erosion in patients with rheumatoid arthritis.

    abstract:OBJECTIVE:To evaluate and compare the diagnostic test accuracy of magnetic resonance imaging (MRI) and ultrasound (US) for bone erosion in rheumatoid arthritis (RA) patients for a specific and efficient diagnostic recommendation. METHOD:To evaluate the diagnostic accuracy, the sensitivity, specificity, area under the ...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s10067-019-04825-6

    authors: Tang H,Qu X,Yue B

    更新日期:2020-04-01 00:00:00

  • Multiple values of 18F-FDG PET/CT in idiopathic inflammatory myopathy.

    abstract::This study aimed to investigate the multiple values of 18F-FDG PET/CT in detecting malignant tumors, evaluating myopathy, and determining interstitial lung disease in patients with idiopathic inflammatory myopathy (IIM). We retrospectively analyzed the data of 38 patients who were examined by 18F-FDG PET/CT and eventu...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-017-3794-3

    authors: Li Y,Zhou Y,Wang Q

    更新日期:2017-10-01 00:00:00

  • Could 2'5'-oligoadenylate synthetase isoforms be biomarkers to differentiate between disease flare and infection in lupus patients? A pilot study.

    abstract::2'5'-Oligoadenylate synthetase (OAS) was shown to be related to systemic lupus erythematosus (SLE) 20 years ago, and was rediscovered to be involved in type I interferon pathway in SLE by several microarray gene expression studies recently. The goal of this study was to investigate OAS isoform expressions in lupus pat...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-006-0260-z

    authors: Ye S,Guo Q,Tang JP,Yang CD,Shen N,Chen SL

    更新日期:2007-02-01 00:00:00

  • Chloroquine in long-term treatment of rheumatoid arthritis.

    abstract::The effect of long-term (18-70 months) chloroquine treatment 250 mg daily, in rheumatoid arthritis (RA) was studied in 20 patients. Sedimentation rates were significantly reduced, as compared to a reference group of 10 RA patients on no treatment of disease modifying anti-rheumatic drugs. Radiographical progression of...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/BF02041561

    authors: Bjelle A,Björnham A,Larsen A,Mjörndal T

    更新日期:1983-12-01 00:00:00

  • Comparison of sexual function in Tunisian women with rheumatoid arthritis and healthy controls.

    abstract:OBJECTIVES:To evaluate sexual function in Tunisian women with rheumatoid arthritis (RA) and to compare it with that in voluntary healthy controls. METHODS:We conducted a cross-sectional study including 71 women with a confirmed diagnosis of RA according to the American College of Rheumatology/European League Against R...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-019-04726-8

    authors: Alia F,Rim BS,Miladi S,Ouenniche K,Kassab S,Chekili S,Zakraoui L,Abdelghani KB,Laatar A

    更新日期:2019-12-01 00:00:00

  • Utilize lung ultrasound B-lines and KL-6 to monitor anti-MDA-5 antibody-positive clinically amyopathic dermatomyositis-associated interstitial lung disease: a case report and literature review.

    abstract::In the past decade, lung ultrasound (LUS) B-lines and serum Krebs von den Lungen-6 (KL-6) antigen have been recognized as biomarkers of the connective tissue disease-associated interstitial lung diseases (CTD-ILDs). Robust data have demonstrated that B-lines total numbers and KL-6 levels are correlated with high-resol...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-019-04462-z

    authors: Wang Y,Chen S,Lin Z,Lin J,Xie X,Lin Q,Du G,Huang X,Matucci-Cerinic M,Furst DE

    更新日期:2019-05-01 00:00:00

  • Upregulation of CD16- monocyte subsets in systemic lupus erythematous patients.

    abstract::Monocytes are an important component in the innate immune system. However, studies to date have failed to conclude whether their levels are altered in patients with systemic lupus erythematosus (SLE). We applied the cytodiff counting method and comprehensively measured the circulating levels of distinct white blood ce...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-017-3787-2

    authors: Wu Z,Zhang S,Zhao L,Fei Y,Wang L,Li J,Wen X,Zeng X,Zhang F,Li Y

    更新日期:2017-10-01 00:00:00

  • From molecular mimicry to cross-reactivity or pathogen expansion? A hypothesis.

    abstract::Very recently, several studies have convincingly demonstrated the role of infection in the development of the antiphospholipid syndrome. Cross antibody-mediated reactivity due to molecular mimicry between endothelial glycoproteins and microbial products was considered as an important pathogenic mechanism. However, ano...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章,评审

    doi:10.1007/s10067-006-0352-9

    authors: Rozin AP

    更新日期:2007-03-01 00:00:00

  • Protrusio acetabuli in juvenile rheumatoid arthritis.

    abstract::Acetabular protrusion (PA) as measured by a line crossing method was studied in 73 patients with juvenile rheumatoid arthritis (JRA) and its frequency found to be 12% (9/73), presenting bilaterally in 5 cases and unilaterally in 4. All patients had some other forms of radiological damage and the presence of PA was pre...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/BF02231556

    authors: Gusis SE,Maldonado Cocco JA,Rivero EM,Babini JC,Gagliardi SA

    更新日期:1993-03-01 00:00:00

  • Clinical characteristics of autoimmune rheumatic disease-related organizing pneumonia.

    abstract::To study the clinical characteristics of autoimmune rheumatic disease-related organizing pneumonia (AIRD-OP), the clinical presentation, radiological findings, treatment, and outcome of AIRD-OP patients were analyzed, in comparison with patients with cryptogenic organizing pneumonia (COP). A total of 131 OP patients w...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-017-3694-6

    authors: Dong X,Zheng Y,Wang L,Chen WH,Zhang YG,Fu Q

    更新日期:2018-04-01 00:00:00

  • Intra-articular injection of etanercept versus glucocorticoids in rheumatoid arthritis patients.

    abstract:OBJECTIVES:This study was conducted to assess the safety and efficacy of intra-articular injection of etanercept and compare it with corticosteroid injection in rheumatoid arthritis (RA) patients. METHODS:Fifty patients with RA who suffered from activity in one joint were randomized into two groups, received an intra-...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-020-05235-9

    authors: Salem RM,El-Deeb AE,Elsergany M,Elsaadany H,El-Khouly R

    更新日期:2021-02-01 00:00:00

  • Discriminating infectious meningitis versus neuropsychiatric involvement in patients with systemic lupus erythematosus: a single-center experience.

    abstract::The objective of this study is to identify the clinical differences between infectious meningitis and neuropsychiatric systemic lupus erythematosus (NPSLE) in patients with SLE. Clinical manifestations, laboratory test results, and prognoses of 14 SLE patients complicated with various infectious meningitis, hospitaliz...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-014-2726-8

    authors: Chen J,Feng X,Wang H,Hua B,Ding C,Liu B,Sun L

    更新日期:2015-02-01 00:00:00

  • Clinical patterns and characteristics of ankylosing spondylitis in China.

    abstract::The study aimed to determine whether unique clinical patterns of AS may exist in China, specifically to explore the different clinical manifestations caused by gender, HLA-B27 status, and age at disease onset. The multicenter cross-sectional survey was conducted and 1251 patients were enrolled across China, representi...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-017-3660-3

    authors: Qian Q,Xu X,He H,Ji H,Zhang H,Ding Y,Dai SM,Zou Y,Zhu Q,Yang C,Ye S,Jiang L,Tang JP,Tong Q,He D,Zhao D,Li Y,Ma Y,Zhou J,Yuan Z,Zhang J,Jin L,Zhou X,Reveille JD,Zou H,Wang J

    更新日期:2017-07-01 00:00:00

  • Rheumatoid nodulosis: a puzzling variant of rheumatoid arthritis.

    abstract::Four patients with rheumatoid nodulosis are here described, together with a review of cases reported to date in the literature. This particular variant of rheumatoid arthritis (RA) is characterized by the presence of subcutaneous rheumatoid nodules, scanty or absent systemic manifestations and a clinically benign cour...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/BF02207201

    authors: Goñi MA,Scheines EJ,Paira SO,Barceló HA,Maldonado Cocco JA

    更新日期:1992-09-01 00:00:00

  • Cost of medication errors in rheumatic patients in Mexico.

    abstract::This study aims to measure the frequency of medication error (ME) in rheumatology outpatients of the Social Security System (SS) in Mexico and to measure the costs by comparing the days lost at work as direct consequence of the medication error against the theoretical cost of no error in the process. A prospective 6-m...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-011-1837-8

    authors: Aceves-Avila FJ,Benites-Godínez V,Ramos-Remus C

    更新日期:2011-11-01 00:00:00

  • Immunization of HLA-B27 transgenic and non transgenic mice with Salmonella typhimurium results predominantly in the generation of proliferative T cell responses.

    abstract::Reactive arthritis (ReA) due to Gram-negative intestinal bacteria or Chlamydia, is associated by an unknown mechanism with HLA-B27. Like other MHC class I molecules, HLA-B27 presents antigenic peptides derived from intracellular proteins to CD8+ cytotoxic T cells (CTL). In humans however, CTL specific for ReA associat...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/BF03342653

    authors: Ringrose JH,Yard BA,Verjans GM,Boog CJ

    更新日期:1996-01-01 00:00:00

  • Evaluation of response to methotrexate by a functional index in juvenile chronic arthritis.

    abstract::In juvenile chronic arthritis (JCA) the indices of disease activity, such as joint swelling, pain, tenderness, and limitation of motion, may poorly correlate with the degree of functional impairment. Since the improvement of functional capacity is one of the main objectives of treatment, we evaluated the effect of met...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/BF02208347

    authors: Ravelli A,Viola S,Ramenghi B,Di Fuccia G,Ruperto N,Zonta L,Martini A

    更新日期:1995-05-01 00:00:00

  • Renal cortical necrosis at presentation in a patient with systemic lupus erythematosus: an autopsy case report.

    abstract::Systemic lupus erythematosus (SLE) is a multisystemic autoimmune disorder. Renal involvement has the worst prognosis. However, renal cortical necrosis is extremely unusual in SLE. In this case report, we describe the autopsy findings in a young female patient with SLE presenting with renal failure. At autopsy, there w...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-010-1395-5

    authors: Uppin MS,Rajasekhar L,Swetha H,Srinivasan VR,Prayaga AK

    更新日期:2010-07-01 00:00:00

  • Idiopathic portal hypertension associated with systemic sclerosis and Sjögren's syndrome.

    abstract::We report a patient with idiopathic portal hypertension (IPH) associated with systemic sclerosis (SSc) and Sjögren's syndrome. A 72-year-old Japanese woman was admitted to our hospital because of Raynaud's phenomenon, sclerodactyly, and dyspnea. The patient had splenomegaly, esophageal varices in the absence of extrah...

    journal_title:Clinical rheumatology

    pub_type: 杂志文章

    doi:10.1007/s10067-005-1084-y

    authors: Kogawa H,Migita K,Ito M,Takii Y,Daikoku M,Nakao M,Miyashita T,Kimura H,Ezaki H,Nakamura M,Yatsuhashi H,Eguchi K,Ishibashi H

    更新日期:2005-09-01 00:00:00