Search for: rheumatoid arthritis methotrexate autoimmune disease biomarker gene expression GWAS HLA genes non-HLA genes
| ID | PMID | Title | PublicationDate | abstract |
|---|---|---|---|---|
| 1947289 | Radiographic assessment of disease progression in rheumatoid arthritis. | 1991 Aug | The role that radiography plays in the assessment of disease has been a subject of controversy over the last two decades. Significant problems continue to exist with radiographic assessment. These include (1) technical variables, (2) interpretational variables, (3) clinical variables, and (4) pathophysiologic variables. Unless these problems are recognized and fully understood by the interpreting physician, the "gold standard" quickly can become "fool's gold." | |
| 2636285 | Interaction of macrophages with rheumatoid articular cartilage. | 1989 Aug | These experiments investigated the in vitro interaction of macrophages and rheumatoid articular cartilage. When rheumatoid articular cartilage samples were incubated with normal peripheral blood mononuclear cells (PBM) for 1 hour or 12 hours in vitro, there were large numbers of PBM attached to the articular surface, and some PBM invaded the cartilage during the 12 hour incubation period. Conversely, in cartilage from osteoarthritic and normal subjects in the control, only a few PBM were attached to the articular surface after incubation with PBM. Under electron microscopic observation, macrophages were tightly attached to the surface and within the eroded cartilage. Light and electron microscopic observation with immuno-peroxidase staining of the rheumatoid cartilage surfaces showed the deposition of immunoglublins adjacent to the attached macrophages, suggesting the presence of immune-complexes as chemoattractants. These results suggest that macrophages in a rheumatoid joint may play an important role in the formation of pannus, resulting in the destruction of cartilage to interact with immune-complexes trapped in the superficial region of the rheumatoid articular cartilage. | |
| 3715653 | Hyperthyroidism after pregnancy in a patient with rheumatoid arthritis. A case report. | 1986 Jun 7 | A 42-year-old Indian woman with long-standing rheumatoid arthritis became pregnant. Exacerbation of her arthritis during pregnancy and in the puerperium is described and mechanisms for the deterioration in her condition are postulated. Two months after delivery, thyrotoxicosis was suspected because of marked weight loss. Initially the interpretation of her thyroid function was difficult because of certain unusual biochemical findings, the reasons for which are discussed. | |
| 2118132 | Pure red cell aplasia with rheumatoid arthritis. A case report and review of literature. | 1990 Mar | Pure red cell aplasia (PRCA) is an extremely uncommon treatable manifestation of rheumatoid arthritis. Here we describe a case of long standing rheumatoid arthritis with severe refractory anaemia, which was proven to be due to PRCA. | |
| 1812556 | [The semiquantitative characteristics of the ultrastructural changes in the vessels of the | 1991 Jul | Electron microscopy was used to make semiquantitative evaluation of lesions in the microvessels of the synovial membrane in patients with rheumatoid synovitis of different duration, different activity of the disease, joint and systemic form of rheumatoid arthritis, in seronegative and seropositive tests of rheumatoid patients. The synovial biopsy from patients with posttraumatic arthropathy without any clinical and morphological manifestations of synovitis served as control. Frequency of different ultrastructural changes in the vessel wall was statistically evaluated. Significant differences in the submicroscopic picture of microcirculatory lesions in immediate and late rheumatoid synovitis were discovered. Frequency and depth of destructive changes in the vessel wall persisted in the increased activity and appearance of systemic manifestations of the disease. | |
| 2069636 | Shoulder rheumatoid arthritis associated with chondromatosis, treated by arthroscopy. | 1991 | We present a case of rheumatoid arthritis that affected the right shoulder and was associated with chondromatosis and multiple loose body formation. The arthritis was treated arthroscopically with satisfactory results after a follow-up period of 15 months. In our case, arthroscopic debridement and partial synovectomy not only relieved the pain but also improved the range of motion the night after surgery. The multiple loose bodies irritating the synovium and causing effusion, crepitus, and locking were also removed. One may need to change portals of the scope and suction cannula to remove loose bodies in different joint spaces. The subacromial space must be searched for loose bodies. Thorough cleaning, lavage, and synovectomy are important parts of this surgery. The continuous passive motion (CPM) machine in the immediate postoperative period was helpful. | |
| 2679539 | [Wound infection following surgical intervention for rheumatism and its relationship to pr | 1989 Sep | Theoretically, slow acting antirheumatic drugs are capable of affecting the body's infection resistance. We have therefore analyzed the records of all 558 RA-patients hospitalized and operated on at our department from 1985-1987 with respect to the incidence of post-surgical wound infections and possible links to previous treatment with slow acting antirheumatic drugs. A total of 2456 operations were performed, or 4.4 per patient. Severe complications due to infection occurred in 24 patients (0.98%). The slow acting drugs had no effect on the complications rate. | |
| 3950633 | The spinal cord in rheumatoid arthritis with clinical myelopathy: a computed myelographic | 1986 Feb | Thirty one patients with suspected myelopathy due to rheumatoid arthritis were examined by plain radiography and 27 had computed myelography. Clinical features and radiological findings were compared. Deformity of the spinal cord could occur in the absence of combined anterior and posterior compression and correlated closely with clinical features only when considered in combination with skeletal and adjacent soft tissue abnormalities. The best surgical results were achieved by transoral odontoidectomy. | |
| 2306290 | High prevalence of IgA rheumatoid factor in severe polyarticular-onset juvenile rheumatoid | 1990 Feb | The presence of IgA rheumatoid factor (IgA-RF) has been correlated with severe joint disease in adult rheumatoid arthritis (RA), but IgA-RF has not been reported in juvenile rheumatoid arthritis (JRA). In the present study, IgA-RF was assayed by an enzyme-linked immunosorbent assay and was found in the sera of 14 of 24 children (58%) with active polyarticular JRA. The presence of IgA-RF correlated with the degree of functional disability. In contrast, IgA-RF was not found in the sera of systemic-onset disease patients, regardless of the degree of dysfunction. IgA-RF was detected in only 1 patient with pauciarticular disease, despite the fact that several patients in this group had severe disease. The presence of IgA-RF in polyarticular JRA did not correlate with serum IgA levels, but did correlate with the presence and the level of serum IgM-RF. Thus, the presence of IgA-RF appears to be specific for polyarticular JRA, and shows a correlation with severe disease in this group. | |
| 2211754 | The Oxford knee replacement. A review from an independent centre. | 1990 Sep | We present a study of 67 Oxford bicompartmental total knee replacements performed at a district general hospital. In this general orthopaedic unit, 57 of the knees (85%) had significant relief of pain with a mean flexion range of 95 degrees and a mean flexion deformity of only 9 degrees. There was a noticeable difference between osteoarthritic and rheumatoid knees. Poor results could be directly related to an avoidable postoperative complication. The results of this independent assessment may be compared favourably with the previously published series from the specialist centre at which the prosthesis was designed. | |
| 3776528 | Chemotactic activity for polymorphonuclear and mononuclear leukocytes in rheumatoid synovi | 1986 Aug | In order to why polymorphonuclear leukocytes (PMNs) are predominant and mononuclear leukocytes (MNLs) are few in rheumatoid synovial fluids, chemotactic factor(s) for PMNs and MNLs were studied in the synovial fluids of rheumatoid arthritis (RA-SF) and osteoarthritis (OA-SF) using both Boyden's and agarose methods. The RA-SF showed strong chemotactic activity for human peripheral blood PMNs compared with non-rheumatoid OA-SF. The chemotactic activity for PMNs was well correlated with the number of PMNs in RA-SF, suggesting that it was a natural mediator for PMN emigration into rheumatoid joint cavity. The major chemotactic factor for PMN in RA-SF was of apparent molecular weight of 14,000 and its activity was suppressed to less than 10 percent by anti-C5a antibody, but it failed to show any anaphylatoxin activity which was an attribute of C5a. It was, therefore, suggested to be C5a-like molecule but not C5a itself. The possibility that the factor may be a C5a des-Arg was discussed. On the contrary, the chemotactic activity for MNLs was not found neither in RA-SF nor OA-SF. These findings may explain the fact that PMNs are predominant in rheumatoid synovial fluids. | |
| 3607376 | The induction of an erosive arthropathy in the guinea pig with copper II bisglycinate and | 1987 Aug | Single intra-articular injections of copper II bisglycinate [Cu(II)gly] (30-300 micrograms) into guinea-pig knee joints induce progressive joint degradation which first appears after about 2 weeks and peaks about 12 weeks after injection. The stable complex, copper II bishistidinate (300 micrograms) was without effect. The Cu(II)gly induced syndrome has features more in common with osteoarthritis than rheumatoid arthritis in that erosion occurs in the absence of persistent synovial inflammation. The possibility that the damage may be caused by Cu(II)gly inducing free radical formation within the joint, leading to a self-perpetuating chain reaction is discussed. D-Penicillamine and other drugs were tested for their effects on the histological changes induced 4 weeks after the intra-articular injections of 100 micrograms Cu(II)gly. Few significant effects were observed and these were restricted to D-penicillamine, which caused inconsistent protection, sodium aurothiomalate which protected at a dose causing weight loss and prednisolone which exacerbated joint damage. It is concluded that the variability of the control response will need to be reduced before the model can be used for routine drug evaluation but it may be of value in the study of chronic degradative joint disease. | |
| 2205905 | Muscle function in rheumatoid arthritis. Assessment and training. | 1990 | The conclusions can be summarized as follows: experienced problems of muscle function were reported in about 80% of RA and OA patients for whom there was involvement of large joints of the lower extremities; RA and OA patients did not differ as to experienced problems of muscle strength, endurance and balance/coordination; problems of muscle function were correlated with functional tests of muscle strength but not with those of endurance and balance/coordination; problems of muscle strength were found to correlate with LE-ADL, whereas problems of endurance and balance/coordination were not found to correlate with the latter; the translated and slightly modified version of the HAQ questionnaire appeared to possess a high degree of reliability and validity in assessing disability in patients with RA under Swedish conditions; a quantitative battery of tests for the evaluation of standing balance on a computerized force platform was found to be satisfactorily reliable and to correlate in healthy subjects with most of the functional tests employed; in healthy subjects, standing balance appeared to be related not only to age but also to sex, males and older age groups showing greater postural sway than females and persons of younger age groups; compared with healthy subjects, RA subjects showed significantly greater postural sway, differences being greatest for those tests representing a relatively high level of difficulty; dynamic training for six weeks appeared to provide RA patients with a greater increase in physical capacity of the lower extremities than did static training, the gains thus obtained still being present after an additional three-month period; the effectiveness of the dynamic training programs did not vary with the degree of supervision of training by a physiotherapist, i.e. of 12 visits or 4 being made at the health care centre; despite the intensity of the dynamic training-program employed with RA patients, no increase in pain experience or disease activity was found during the training-period; during short-term high-intensity training a significant increase in circulating beta-EP was found between the 3rd and 6th weeks of training, no increase in CRF and beta-LPH being present; following a long-term low-intensity training period, a significant increase of CRF and beta-LPH was found, no similar increase being noted for beta-EP. | |
| 1757928 | The assessment and prediction of functional disability in rheumatoid arthritis. | 1991 Sep | We assessed functional disability with the Stanford Health Assessment Questionnaire Functional Disability Index (FDI) in 1,274 patients with rheumatoid arthritis (RA) followed longitudinally for up to 12 years. The rate of functional loss increased sharply after the first clinic visit. Half of patients with RA (median survival time) will reach FDI scores of about 1 in 2 years, 2 in 6 years, and 2.5 in 10 years after the first clinic visit, levels that correspond to moderate, severe and very severe loss of functional ability. Functional outcomes may be predicted by simple demographic and clinical assessments, the best of which are self-assessed measures of global severity, pain and function. | |
| 3263502 | Concomitant gout and rheumatoid arthritis. | 1988 Aug | The coexistence of gout and rheumatoid arthritis is described in a patient who was followed for 7 years before the association was established. This is the 4th non-Caucasian patient recorded in the literature. He was HLA-DR4 positive, and no data suggestive of a predisposition to gout were found. Interestingly, during followup rheumatoid and gouty phases alternated, without simultaneous manifestations of both diseases. | |
| 2154031 | Dominant T-cell receptor beta-chain gene rearrangements indicate clonal expansion in the r | 1990 Jan | T-cell receptor (TcR) beta and delta gene rearrangements were studied in anti-CD3 expanded T-cell populations cultured from the synovial membrane (SM) (n = 5) or synovial fluid (SF) (n = 2) of rheumatoid arthritis (RA) patients. Dominant TcR beta-chain gene rearrangements to C beta 1 were demonstrated in all the patients tested and 1-3 expanded clones per patient were found. Clonal rearrangements to C beta 2 were detected in one SM sample (two clones) and one SF sample (one clone). The TcR delta gene was deleted in all the samples tested. We conclude that clonal dominance may be found in expanded T-cell populations from SM and SF of RA patients. Multiple clones may be present, either using the C beta 1 or C beta 2 gene segment. | |
| 2206694 | Quantitative evaluation of hyaline cartilage disorders using flash sequence. II. Clinical | 1990 Jul | In a prospective clinical study 24 normal volunteers and 106 patients with acute and chronic arthritis, osteoarthritis and post-traumatic alterations of the knee joints were examined. Using the parameters A and M 98 per cent of the pathologic cartilages and 74 per cent of the normal cartilages could be identified. In addition 78.5 per cent were correctly categorized in 5 cartilage classes. The A/M classification proved to be a fast and specific method for evaluation of cartilage disorders with special promise for follow-up examinations during therapy. | |
| 2661573 | Treatment of tenosynovitis in rheumatoid arthritis. | 1989 May | Tenosynovitis in the hand of a patient with rheumatoid arthritis will occur in common sites. If the tenosynovitis cannot be controlled by nonsurgical means, there are surgical approaches to the disease. Tenosynovectomy can give successful, long-term relief from the synovitis, and can also prevent tendon ruptures. | |
| 2353357 | Stromelysin synthesizing cells in the synovial tissues of rheumatoid arthritis demonstrate | 1990 Mar | We identified the cells synthesizing stromelysin to be synovial cells in the synovial tissue from four biopsy cases with rheumatoid arthritis (RA) by in situ hybridization and immunohistochemical studies. In the cases which showed severe inflammation of synovia such as well developed lymphoid follicle and diffuse inflammatory infiltration, synovial cells located only in the superficial layer of synovial tissues showed abundant mRNA and enzymic protein of stromelysin. | |
| 2794186 | Pain coping strategies and depression in rheumatoid arthritis. | 1989 Oct | A study was conducted to examine the role of pain episodes and the role of active and passive pain coping strategies in predicting depression in 287 patients with rheumatoid arthritis (RA). The independent effects of pain and pain coping strategies, as well as the interaction effects between pain and pain coping strategies on depression, were evaluated cross-sectionally and prospectively over a 6-month interval. The cross-sectional findings revealed that pain, passive coping, and the interaction between pain and passive coping contributed independent variance, all accounting for higher depression. Of principal interest was the finding that the frequent use of passive pain coping strategies in the face of high pain contributed to the most severe level of depression over time. These results were obtained after controlling for the potentially confounding effects of prior depression, functional disability, and medication status. These data imply that there may be a potential benefit of developing techniques to reduce the use of passive pain coping strategies to deal with chronic arthritis pain in cognitive-behavioral pain management programs. |