Search for: rheumatoid arthritis methotrexate autoimmune disease biomarker gene expression GWAS HLA genes non-HLA genes
| ID | PMID | Title | PublicationDate | abstract |
|---|---|---|---|---|
| 3439367 | [Problems in implementing a pain management program for rheumatoid patients and studies of | 1987 Nov | A pain management program is presented which enables patients to reduce pain by means of relaxation and attention-diversion, etc. The problems arising from applying a psychological training to organic diseases, and the most favourable therapist's behaviour in facing these difficulties are elucidated. Finally, controlled studies are cited showing that pain can be reduced and the emotional state improved by pain management techniques. | |
| 1977194 | [A comparative evaluation of the efficacy and tolerance of gold and D-penicillamine prepar | 1990 Apr | Morphological signs of rheumatoid synovitis have been analysed on the basis of 130 puncture biopsies taken from 46 patients prior to the beginning and during parenteral therapy with auric preparations (crysanolom and myocrysin) and peroral administration of an auric preparation rhidaura and small doses of D-penicillamine. The most marked morphological effect was reached in 1.5 years. With a favourable clinical effect all the preparations exhibited capacity for suppressing the following basic signs of rheumatoid synovitis: proliferative changes in the layer of synoviocytes, reaction of blast cells. | |
| 2878286 | Common-sense beliefs about illness: a mediating role for the doctor. | 1986 Dec 20 | A great deal is said these days about how important it is for doctors to pay attention to the patient's beliefs about his or her disease. Better knowledge of such beliefs, it is argued, will enable the doctor to counter ignorance, enhance communication, and reduce non-compliance. The view advanced here is that the significance of patients' beliefs and their frequent resistance to rational correction will emerge only if they are seen as components in a process of "narrative reconstruction". It is suggested that the main difficulty is not ignorance but rather the fact that doctor and patient have different purposes: whereas the doctor's objective is to explain the aetiology of the disease, the patient may be more concerned to make sense of the disruption caused by the disease. | |
| 3262751 | The relation of polymyalgia rheumatica to rheumatoid arthritis. | 1988 | Sixty-four patients with the onset of rheumatoid arthritis (RA) after age 60 were followed for at least three years (mean 6.3 years); 33 patients had rheumatoid factor and 31 did not. Twenty-five of the 31 seronegative patients had an excellent response to low dose prednisone and did not require any additional medication. Six of these patients also had an episode diagnosed as polymyalgia rheumatica (PMR). These findings suggest that the synovitis currently diagnosed as seronegative RA in many older patients may not be the same disease as seropositive RA, but may be more closely related to or identical with PMR. | |
| 2151768 | Proposed guidelines for the clinical evaluation of interleukin-1 inhibitors in the treatme | 1990 Oct | Since the effects of interleukin-1 might contribute to the lesions observed in rheumatoid arthritis. a compound which inhibits this cytokine should be an important addition to the therapeutic agents available for use in this disease. Clinical evaluation of such a compound must answer the following questions: Is the proposed drug "quick" or "slow" acting on the clinical and/or biological symptoms of inflammation? Is the proposed drug able to prevent and/or to stop the cartilage damage in rheumatoid arthritis? We propose some methodological guidelines for clinical trials designed to assess these compounds. | |
| 2310235 | Magnetic resonance imaging of the shoulder in patients with rheumatoid arthritis. | 1990 Jan | To evaluate the ability of magnetic resonance imaging (MRI) to detect shoulder abnormalities 18 patients (36 shoulders) with rheumatoid arthritis (RA) and shoulder complaints were studied. Osseous abnormalities of the glenoid and humeral head were readily detected with MRI. The imaging planes used were not suitable for the evaluation of acromioclavicular joint involvement. Magnetic resonance imaging depicted soft tissue abnormalities that were not clearly visualised by plain film radiography, such as involvement of rotator cuff tendons and subacromial bursae, joint effusion, and muscular atrophy. Magnetic resonance imaging appears to be a sensitive method for evaluation of glenohumeral joint changes in patients with RA. | |
| 2145468 | [Clinico-immunological characteristics of patients with rheumatoid arthritis and symptoms | 1990 Jun | The paper presents the results of a comparative study performed in the USSR and Poland of rheumatoid arthritis (RA) patients with extra-articular manifestations of the disease (with skin vasculitis and free of it). The comparison included clinical, biochemical and immunological parameters. The results confirm the role of immune complexes in the onset of vascular affections in RA. High incidence of sensitive polyneuropathy in patients with skin vasculitis allows one to define it as a sign of systemic vasculitis. Rheumatoid nodes occur with similar frequency in both groups. It is shown that the problem of vascular pathology in RA remains complex and that further studies are needed to specify mechanisms of vasculopathy development in RA. | |
| 3166369 | Effects of prostaglandin E2 on disease activity, gastric secretion and intestinal permeabi | 1988 Aug | The effects of oral natural prostaglandin E2 (PGE2) on symptoms, disease activity, and gastrointestinal functions in rheumatoid arthritis (RA) were studied in an open pilot trial. Twelve patients, six taking and six not taking non-steroidal anti-inflammatory drugs (NSAIDs), received 1 mg natural PGE2 three times a day for six weeks. The treatment was tolerated well and the only side effect noted was slightly looser stools in three patients. Half of the patients reported subjective improvement and none had aggravation of symptoms. The Ritchie articular index and several biochemical inflammation markers decreased and were significantly reduced at the end of the treatment period. The thickness of the small intestinal mucosa increased during the PGE2 treatment. The intestinal permeability pattern, measured by urinary excretion of polyethylene glycols (PEG 400), differed between the patients taking and not taking NSAIDs. The initially high urinary PEG 400 excretion values in the patients taking NSAIDs decreased and the initially low excretion values in patients not taking NSAIDs increased during the PGE2 treatment. The jejunal contents became sterile in 5/6 patients not taking NSAIDs and remained sterile in 1/6 patients taking NSAIDs at the end of the treatment. The treatment period was associated with a reduction of lactobacilli in patients not treated with NSAIDs. Thus the treatment appeared to decrease disease activity and to improve small intestinal functions in patients with RA, findings that need confirmation in a controlled trial. | |
| 3345231 | Radiographic and joint count findings of the hand in rheumatoid arthritis. Related and unr | 1988 Jan | Radiographic and physical joint count findings of the hands and wrists of 148 patients with rheumatoid arthritis (RA) were analyzed in a cross-sectional study. Quantitative radiographic scores for joint space narrowing, erosion, and malalignment were correlated highly with joint count scores for limitation of motion and deformity, and were correlated at considerably lower levels with joint swelling scores. Radiographic scores, however, were not correlated at all with joint count tenderness scores. That 2 of the most widely used indices of RA disease activity, radiographic erosion scores and joint count scores for tenderness, were independent of one another at a selected timepoint, should be considered in the design of clinical trials and long-term observation of patients with RA. | |
| 3594965 | Ketoprofen-induced reduction of polymorphonuclear cell activation in rheumatoid arthritis. | 1987 Jan | Ten early rheumatoid arthritis (RA) patients and 10 healthy volunteers were given 200 mg of ketoprofen daily for 8 days. Polymorphonuclear cell functional studies were performed just before and immediately after this treatment. In RA patients, increased chemotactic index and adherence returned to normal after this short-term treatment whilst reduced phagocytosis and bacterial function were not significantly modified by the drug. In healthy volunteers, no significant effect was shown. In addition, ketoprofen diminished the chemotactic activity induced by zymosan in RA patients and also in healthy volunteer plasma. | |
| 3482985 | HLA associations are with severe rheumatoid arthritis. | 1986 Jun | Rheumatoid arthritis (RA) has been studied in 17 multicase families from the North East of England. The families comprised 281 individuals, 51 of whom had classical or definite RA, 18 had probable RA, and six were classified as previous RA. The association of classical and definite RA with HLA-DR4 was confirmed, and homozygosity for DR4 was more strongly associated than heterozygosity. There was a trend towards negative association with HLA-DR2 and DR7. Homozygosity for DR4 and possession of the haplotype most frequently inherited with RA in a particular family showed association with more severe disease. HLA-DR2 and DR7 tended to associate with less severe disease. It is therefore likely that HLA association is with the severity of disease rather than disease susceptibility. | |
| 2390130 | Psychological symptoms in primary fibromyalgia syndrome: relationship to pain, life stress | 1990 Aug | Twenty-five subjects with primary fibromyalgia syndrome and 22 subjects with rheumatoid arthritis were compared on measures of psychological distress, pain, health status, life stress, sleep disturbance, and coping strategies. Higher levels of psychological distress were found in the primary fibromyalgia syndrome group, but the degree of life stress was shown to be a significant covariate. | |
| 1920334 | Rheumatoid arthritis identified in population based cross sectional studies: low prevalenc | 1991 Jul | All 5 cross sectional population based studies which included evaluation of all subjects for both rheumatoid factor (RF) and rheumatoid arthritis (RA) were reviewed. RF was found in only 19-33% of individuals who met the 1958 ARA criteria for RA. Many individuals identified in these studies met criteria for only "probable" or "possible" RA according to the 1958 criteria, and might not meet the 1987 criteria. However, RF was found in only 26-60% of subjects who met criteria for "definite" RA in the studies that included this information. Population based studies of RA often have been interpreted as applicable to clinical RA patients, which may explain in part different views of RA as both a mild and a progressive disease. | |
| 3062766 | Aspects of the history of rheumatoid arthritis in the light of recent osteo-archaeological | 1988 | Rheumatoid arthritis (RA) is one of our most common disabling diseases today. Whether or not RA also existed in ancient times has been questioned and debated in recent years. Supporters of the view of recent onset claim that evidence of the existence of RA in antiquity can be found neither in old literature nor in paintings--and most important--convincing paleopathological finds are lacking. The following presentation reviews the results of an examination of skeletons found during an excavation of a neolithic burial place in the island of Gotland, Sweden. In two skeletons there were marked peripheral changes in both large and small joints. These changes are compatible with in vivo presence of a chronic aseptic polyarthritis. Different diagnostic possibilities for such polyarticular joint disease are discussed. It is suggested that RA might be the most probable alternative although other possibilities cannot be excluded. | |
| 2650797 | Thymopentin (TP-5) in the treatment of rheumatoid arthritis. | 1989 Apr | A randomized control trial of TP-5 in rheumatoid arthritis is reported. In a multicentre study, 76 patients were treated with TP-5 50 mg or placebo three times a week for 3 weeks as a slow intravenous injection, and followed for 7 weeks. Clinical parameters such as the Ritchie index and sum score of swollen joints improved significantly on TP-5 compared to placebo. Laboratory parameters did not change but an increased skin test score to common recall antigens was observed. Toxicity was minimal. TP-5 is a potentially useful agent in the treatment of rheumatoid arthritis, although further studies are required to determine the optimal treatment regimen. | |
| 3296967 | Combination of methylprednisolone pulse therapy and remission inducing drugs in rheumatoid | 1987 Apr | Thirty patients with rheumatoid arthritis were allocated to either methylprednisolone pulse therapy or placebo at the beginning of treatment with either gold salts, penicillamine, or azathioprine. Methylprednisolone pulse therapy produced an immediate but temporary anti-inflammatory effect lasting for a maximum of four to eight weeks. It also caused a lasting depression of serum IgG, but no effect was observed on the proportion of T and B lymphocytes, proliferative responses, or on concanavalin A induced suppressor cell activity, and there was no effect on the amount of circulating immune complexes. The bone mineral content decreased similarly in the two groups, and methylprednisolone pulses had no effect on the progression of erosions on x rays during an observation period of eight months. A single pulse of methylprednisolone can give a short lasting anti-inflammatory effect but is of little or no value in the long term treatment of rheumatoid arthritis. | |
| 2489193 | [Clinical analysis on the temporomandibular joints of the fifteen patients of rheumatoid a | 1989 | It is seemed to be really important, when making a selection on the treatment for rheumatoid arthritis, to gain an insight into progress and activity of the disease. This analysis was taken in order to look upon the clinical symptoms and the radiographic abnormalities of the temporomandibular joints, obtained from fifteen rheumatoid arthritis patients who has visited on our department, since 1974. Ten patients (66.7%) had clinical evidences of temporomandibular joint. The most frequent symptom was pain on movement, followed by disturbances on mouth opening and crepitation. Patients who had been suffering from the disease for a long period offered more frequent clinical evidences. The acute phase symptoms, such as disturbances on mouth opening, swelling and oppressive pain in the preauricular area, was found in one patients. All of the patients showed some radiographic abnormalities. We've devised a criteria on the degree of condylar absorption on the purpose of comparison to the other abnormalities. The degree 1 was found in 3 joints, the degree 2 in 12 joints, the degree 3 in 14 joints, and the degree 4 in 7 joints. An absorption on the articular fossae and the tubercles were well along with this degrees. The higher degree the more frequent of clinical evidences in each joints was disclosed. And the period of the disease was related on the degrees, too. We can expect the bone scintigraphy by using 99mTc-MDP to be a good way for expression of the activity of the disease. | |
| 3239265 | [Work disability and the granting of pensions in psychogenic rheumatic diseases]. | 1988 Sep | This paper is the result of a symposium that addressed the problem of disablement and social pension for patients with psychosomatic-rheumatological complaints. This especially concerns patients suffering from psychosomatic manifestation at the locomotor apparatus, who are increasingly disabled and necessitating a pension, without actual somatic findings justifying a vocational disablement. Primarily it is a clinical picture of a generalized tendomyopathy, often underestimated in its importance. Definitions, causes, and clinical pictures are presented. A critical phase decisive for the disablement, the personality of the would-be pensioner, considerations for the physician regarding diagnostic and therapeutic efforts, elements of time and environment, and conditions at the work-place are discussed. In some cases a pension will be unavoidable and justifiable, even if the somatic findings seem not to be sufficient. The psychogenic picture must be carefully determined differentiated from simulation; determining the cause of aggravation is essential. | |
| 2786329 | High incidence and prevalence of rheumatoid arthritis in Pima Indians. | 1989 Jun | A longitudinal epidemiologic study has been conducted to estimate the incidence and prevalence of rheumatoid arthritis in an American Indian population, the Pima and Papago Indians of Arizona. Clinical, serologic, and radiologic data were collected during biennial examinations of subjects aged 20 years or more during the period 1967-1986. Rheumatoid arthritis was diagnosed by criteria for the active and the inactive disease. Age-adjusted to the 1980 US population at least 20 years of age, the prevalence of classical and definite rheumatoid arthritis in 1984 was 5.3% (3.23% in males and 6.95% in females), a rate appreciably higher than that reported in studies in Rochester, Minnesota, and in Hiroshima and Nagasaki, Japan. Among Pimas, during the study period, 70 incident cases of rheumatoid arthritis occurred. The age-adjusted incidence rate was 42.2 cases per 10,000 person-years (29.7 in males and 51.8 in females), 10.3 times as high as the age-adjusted rate in Rochester (4.1/10,000 person-years), and 5.7 times as high as in Japan (7.4/10,000 person-years). Rates generally increased with age. No secular trend was found. On the basis of both prevalence and incidence data, this study confirms that rheumatoid arthritis does not have uniform occurrence in different populations. This has to be taken into account in the search for the factors related to the differences in risk of disease. | |
| 3440334 | Fatal cardiac tamponade complicating anticoagulant therapy in rheumatoid arthritis. | 1987 Oct | Haemopericardium with tamponade is a rare complication of anticoagulant therapy. A case of fatal haemopericardium is described in a patient with rheumatoid pericarditis in whom the precipitating factor appeared to be intravenous anticoagulant therapy. |