Search for: rheumatoid arthritis    methotrexate    autoimmune disease    biomarker    gene expression    GWAS    HLA genes    non-HLA genes   

ID PMID Title PublicationDate abstract
1920840 [Elevated plasma interleukin-6 in patient with idiopathic thrombocytopenic purpura]. 1991 Jul Plasma Interleukin-6 (IL-6) level was measured in patients with idiopathic thrombocytopenic purpura (ITP), systemic lupus erythematosus (SLE), rheumatoid arthritis and aplastic anemia. Increase in the plasma level of IL-6 was observed in patients with ITP and SLE. The plasma IL-6 level decreased with progression of the treatment for ITP, and it showed weak negative correlations with the platelet count at the onset of ITP. The increases in the plasma IL-6 level suggest the involvement of activation of the immune system in the pathogenesis of ITP.
2012938 Renal tubular dysfunction in rheumatic diseases. 1991 Apr Evidence of renal tubular dysfunction as defined by abnormal urinary levels of alpha 1 and beta 2 microglobulin with or without microalbuminuria was found in 47 (16.5%) of 285 patients with a variety of rheumatic diseases, compared with a prevalence of less than 1% in 500 healthy adults. Previous work from this unit has shown a prevalence of tubular dysfunction of 24% in patients with severe rheumatic disease admitted to hospital, probably associated with severe rheumatoid arthritis. Although our study confirms a high prevalence of renal tubular dysfunction, we have shown that it is related to age and intercurrent illness, particularly urinary tract infection, rather than to rheumatic disease or drug therapy, although it is possible drug therapy could add to a compound insult on ageing or damaged kidney.
2257448 Traumatic synovitis analysed by arthroscopy and immunohistopathology. 1990 Dec The synovitis induced in previously healthy subjects by knee joint trauma was investigated at arthroscopic surgery performed after 3-70 days. Synovitis was confined to the areas of the synovial membrane bordering the cartilage lesion and displayed a varied intensity of inflammation. Biopsies were sampled under direct vision from the area of the peak inflammatory intensity within each joint and analysed by immunohistopathology. Only sparse lymphocytic infiltration and a slight increase of lining cell layers were found in the biopsies after as long as 70 days. The restricted extent and limited intensity of the inflammatory changes contrast with previous findings in rheumatoid arthritis. However, the arthroscopic and immunohistopathological signs of synovitis were no different.
2190958 Psychiatric aspects of chronic disease in adolescence. 1990 Jun In adolescents with chronic illnesses, the rate of behavioral disorders is 10% to 20% higher than that in their well peers. Rheumatoid arthritis, chronic renal disease, cystic fibrosis, cancer, and many other chronic illnesses constitute risk factors for behavioral disorders in adolescents. Because they are now living longer, more productive lives, adolescents with chronic illnesses are more often seen by their primary care physicians with behavioral disorders that can interfere with disease control. Risk-taking behaviors, difficulties with parents, noncompliance, depression, and isolation may all be manifestations of behavioral disorders. Parents and siblings may also be at risk for disorder. Particular constellations of family and individual characteristics may be associated with behavior disorder. So that these behaviors may be discovered as early as possible, it is important that the primary care physician conceptualize chronically ill adolescents and their families as "at risk."
2271759 Clinical assessment of rheumatic diseases using viscoelastic parameters for synovial fluid 1990 For the first time it is clearly exhibited that synovial fluid (SF) is thixotropic. Although no hysteresis loops were observed for SF, not even at high shear rates, thixotropy may be exhibited by measuring the rate of recovery after extensive shearing. The rebuilding of the structure in a small-amplitude oscillatory state following the high-shear-rate state reveals the thixotropic behaviour. Five different viscoelastic parameters for various synovial fluids (SF) were obtained using oscillatory rheometry. It was also shown that for SF in the low frequency range, corresponding to a knee joint almost at rest, the shear loss modulus G" is greater than the shear storage modulus G', since the system is allowed to dissipate energy at rest. However, with movement, G' increases and eventually becomes greater than G" at a characteristic frequency above which the system has insufficient time to dissipate energy and hence responds as an elastic body. This functional behaviour, characteristic for normal SF, broke down in the SF of rheumatoid arthritis. It was also absent in the SF of knee joints with meniscus lesions and ligament defects.
3243256 Microheterogeneity of human serum transferrin: a biological phenomenon studied by isoelect 1988 Sep The heterogeneity of human transferrin results from (i) differences in iron content, (ii) genetic polymorphism and (iii) differences in the carbohydrate moiety. This article primarily deals with the last phenomenon, the microheterogeneity of human transferrin. Owing to the comparatively simple carbohydrate structure of human transferrin and the high resolving power of isoelectric focusing in immobilized pH gradients, microheterogeneous forms of transferrin can be separated. Differences between samples can be quantitated by crossed immunoelectrophoresis. Examples of the differences between the microheterogeneity patterns of transferrin in several biological fluids and the changes that can be observed in diseases such as rheumatoid arthritis, idiopathic hemochromatosis and Kahler's disease are presented. Special attention has been focused on changes occurring during pregnancy.
3383115 Intermediate lymphocytic lymphoma of the salivary gland. 1988 Jul 1 Three patients had a painless mass in the parotid (two patients) or submandibular regions (one patient). These patients were 70, 66, and 65 years of age, respectively. One patient was male and the other two were female. No symptoms suggesting the presence of autoimmune sialadenitis had been noticed, although one patient suffered from rheumatoid arthritis. Histologic study showed that small atypical lymphoid cells with slightly irregular and indented nuclear contours proliferated diffusely and secondary lymph follicles were distributed at random among them. These findings are similar to those that we recently reported for intermediate lymphocytic lymphoma (ILL) of the thyroid gland arising in patients with autoimmune thyroiditis. A high frequency of ILL among our series of salivary lymphomas (three of nine cases) is discussed.
2472002 The effect of recombinant interferons on cathepsin B activity in human monocytes. 1988 Blood monocytes isolated from healthy human donors were cultivated for 3 days in the presence of recombinant human interferons (rHuIFN) alpha, beta, gamma. Intracellular activity of cathepsin B was recorded. All rHuIFNs suppressed the cathepsin B activity in the monocytes, rHuIFNs alpha and beta suppressed in a dose-dependent manner, whereas rHuIFN-gamma was suppressive only at low concentrations (1-10 U/ml). In parallel experiments, monocytes were stimulated with carrageenan, which caused increased cathepsin B activity in the cells. This increase was reduced to the level of activity in nonstimulated cells by all rHuIFNs. We have previously reported that cathepsin B may be involved in the pathogenesis of rheumatoid arthritis, and the present results may have a bearing on the effects of HuIFNs on the immune system.
3688792 Traumatic rupture of the extensor pollicis longus tendon. 1987 Nov Rupture of the extensor pollicis longus tendon is rather rare, attributable in about half of all cases to rheumatoid arthritis affecting the wrist or to a Colles' fracture. In the remainder of cases, either a direct closed injury to the wrist or a hyperextension injury of the wrist is most often responsible. Far more unusual is a rotational injury which can cause complete avulsion of the EPL tendon at the musculotendinous junction. A delayed rupture is most probably caused by an avascular necrosis secondary to traumatic disruption of the mesotendon. Surgical correction of the injury is best accomplished by tendon transfer, using the extensor indicis proprius. Postoperative immobilization, hyperextension of the thumb, and adequate resting tension are all necessary to assure good return of function. Postoperatively, the patient may experience a slight decrease in extensor strength of the index finger which may or may not be accompanied by a minimal loss in extensor range.
2956666 Rheumatic complaints in Tokelau. II. A comparison of migrants in New Zealand and non-migra 1987 The migration of 1381 Tokelauans 15 years and over to New Zealand leaving 811 in Tokelau, provided a unique opportunity to test centuries of speculation on the impact of environment on rheumatic disease. There was no change in all rheumatic complaints. The migrant men had more gout, joint pain following injury, and neck pain. The migrant women had more dorsal back pain. There was no change in the prevalence of clinically defined osteoarthritis (COA) despite positive associations with weight and higher weights in the migrants. Rheumatoid arthritis was infrequent in both populations. Low back pain was common but was not more common in migrants, though compensation payments are readily available in New Zealand and are not in the Islands.
3456645 Diverse gene expression for isotypes of murine serum amyloid A protein during acute phase 1986 Apr 11 Serum amyloid A protein (SAA) is a precursor for a major component of amyloid fibrils, which, upon deposition, cause secondary amyloidosis in diseases such as rheumatoid arthritis. In mice, SAA is encoded by at least three genes, which show diverse expression during inflammation. Furthermore, in amyloidosis-resistant SJL mice, the gene expression for one SAA isotype, SAA2, is defective, although SAA2 gene expression is normal in amyloidosis-susceptible BALB/c mice. Because only SAA2-derived products deposit in mouse amyloid tissues, the resistance of SJL mice to amyloidosis seems to be due to defective SAA2 gene expression. Thus, the study emphasizes the importance of SAA gene structure in determining susceptibility to amyloidosis.
3771839 Pustular pyoderma gangrenosum associated with ulcerative colitis in childhood. Report of t 1986 Oct Pyoderma gangrenosum is a cutaneous disorder associated with systemic diseases such as ulcerative colitis, Crohn's disease, rheumatoid arthritis, and blood dyscrasias. We are reporting two cases of pustular pyoderma gangrenosum associated with ulcerative colitis. One patient had inactive bowel disease when she developed her third episode of pustules, erosions, and nodules on the left leg. The other patient exhibited a widespread painful vesiculopustular eruption that coincided with the onset of her colitis. Both patients presented with pustules as the primary manifestation of their pyoderma gangrenosum. Histologic examination of skin from both patients revealed an acute perifollicular inflammation. Pyoderma gangrenosum should be considered in the differential diagnosis of pustular disorders in children with underlying conditions such as ulcerative colitis.
2161877 Rheumatoid factors may bear the internal image of the Fc gamma-binding protein of herpes s 1990 Jun 15 Affinity-purified rheumatoid factors (RF) from 20 patients with rheumatoid arthritis were tested for their reactivity with the mAb II-481 against glycoprotein E (gE), the Fc gamma-binding protein of HSV-1, as well as with a panel of mAb against human Fc gamma R. All RF bound to mAb II-481 in preference to mAb IV.3 (anti-human Fc gamma RII) or MOPC 141 (control mAb) which belong to the same IgG2b subclass. Five RF showed strong reactivity with II-481. No significant reactivity was observed between RF and mAb against human Fc gamma R. Non-RF human IgM did not react with any of the mAb. Clear-cut binding to II-481 was also seen with monoclonal IgM-RF derived from MRL/1 mice (mRF-2). The reaction between RF and II-481 was completely inhibited by human IgG. It was also inhibited by BHK cell extract infected with HSV-1, and with purified gE. II-481 inhibited the binding of human IgG Fc to the infected cell extract, confirming that II-481 recognizes the Fc-binding site on gE. II-481 did not react directly with human IgG or Fc of IgG. mAb to human IgG2 showed stronger binding to II-481 than to MOPC 141, suggesting II-481 has conformational similarity to human IgG H chain. These results suggest that at least some RF bear the "internal image" of HSV-1 Fc gamma-binding protein and support the hypothesis that some RF may be generated as anti-idiotype antibodies against antiviral antibodies.
1802637 Comparison of search strategies for recalling double-blind trials from MEDLINE. 1991 Dec To minimise the effect of reference bias in literature retrieval, it is important to use computerised search strategies that give a high yield of relevant reports. In a MEDLINE search that included the Medical Subject Heading (MeSH) "Comparative study," the recall of double-blind trials of NSAIDs in rheumatoid arthritis was 93.1% (122/131) and the precision was 19.0% (122/641). When "Double-blind method" was used, either as MeSH or text words, the recall was only 72.5% (95/131) with a precision of 22.7% (95/419). A combined search strategy increased the recall to 97.7% (128/131) with a precision of 17.3% (128/738). With the MeSH term "Random allocation" only eight relevant reports were retrieved, and none was new. By using "Clinical trials" alone, we would have missed eleven reports. We conclude that "Comparative study" is preferable to "Double-blind method" when searching double-blind trials on MEDLINE.
1951301 Circulating nucleated red blood cells following splenectomy in a patient with congenital d 1991 Oct A 24-year-old white female with a 10-year history of juvenile rheumatoid arthritis and splenomegaly developed numerous circulating nucleated red blood cells (NRBC) following splenectomy for chronic abdominal pain. Subsequent evaluation revealed the presence of a congenital dyserythropoietic anemia (CDA) with atypical features. Circulating NRBCs have been reported following splenectomy in three other cases of CDA, each of which had atypical features and did not fit into the customary classification of types I-IV. Follow-up of our patient at 4 years revealed no untoward consequences of persistent NRBCs in her circulation.
1888198 High molecular weight glycosaminoglycans in AA type amyloid fibril extracts from human liv 1991 Aug Glycosaminoglycans have previously been identified in extracts of AA type hepatic amyloid fibril from a patient with amyloidosis associated with juvenile rheumatoid arthritis. The macromolecular properties of these polysaccharides are described here in more detail. By gel filtration and ion exchange chromatography glycosaminoglycans in the form of high molecular weight free chains were shown to coisolate with water extracted amyloid fibrils. About 60% of these were characterised as galactosamines (chondroitin sulphate/dermatan sulphate), whereas the remaining 40% consisted of N-sulphated glucosamines (heparin/heparan sulphate). The amyloid associated glycosaminoglycans were not part of intact proteoglycans in the fibril extracts.
1894398 Psychosocial factors, exercise, and immunity: athletes, elderly persons, and AIDS patients 1991 Jun Maximal bicycle ergometry exercise increases natural killer (NK) cell activity and numbers in both healthy old and young persons to equivalent degree but with greater variability in the old. Exercise-induced increase in NK activity, but not numbers, is blocked by the opioid antagonist naloxone. Lactating females do not show exercise-induced augmentation of NK cell activity. A predisposition to autoimmune disease, particularly rheumatoid arthritis, may exist among athletes, and disease may ensue when athleticism ceases. Long-term survivors with AIDS generally engage in physical fitness/exercise programs.
2639308 [Dental caries in the elderly. 1. Prevalence and risk factors]. 1989 Oct This article reports declining edentulousness and caries risk among elderly in good general health. Recurrent caries in the cementum is the prevalent type of lesion. Caries risk is highest in mandibular molars and lowest in mandibular front teeth. Elevated caries risk in the elderly may be associated with a delay in the oral sugar clearance. The reason may be a decline in salivary glandular function, for which risk factors are: 1. being a female; 2: suffering from hypertension, rheumatoid arthritis, or uncontrolled diabetes; and 3. using neuroleptics, ataraxica, beta-blocking agents and L-dopa. Delayed oral sugar clearance may also result from less efficient chewing and swallowing caused by a general decline in motoric functions. Topical use of fluorides affects caries progression directly, and has therefore a greater potential for effectiveness in elderly caries risk subjects than precautions aiming at controlling plaque and sugar time.
2575150 A note on the use of salicylate saliva concentration in clinical pharmacokinetic studies. 1989 Oct A sequential approach is presented to the problem of determining the minimum number of blood samples needed to calculate the plasma to saliva concentration ratio to a required precision. The method was applied to salicylate concentrations obtained from six rheumatoid arthritis patients. In order to achieve a 10 per cent coefficient of variation in the plasma to saliva salicylic acid concentration ratio, on average 9 samples were required for total plasma concentration and 8 samples for unbound concentration. In some cases it was not possible to achieve the required precision with the given number of samples. Correlation of salicylic acid concentrations in saliva with total and unbound plasma concentration were equally as good. The limitations of saliva data in clinical pharmacokinetic studies are discussed.
2675211 [Value of the scanner for diagnosing synovial cysts of the hip. Apropos of 2 cases. Review 1989 Two cases of synovial cysts of the hip have been observed by the authors. They were extending anteriorly and were developing from the psoas iliac muscle bursa. After a review of the literature it is concluded that this is a rare condition, and that CT scan made the diagnosis much easier. In one case the cyst complicated a rheumatoid arthritis, in the other the origin was not clear. The clinical features and differential diagnoses are recalled.