Revue du rhumatisme et des maladies ostéo-articulaires

Publications in this journal

• Article: [Different methods of bone filling in orthopedic surgery].

  G Pasquier, P Hardouin, C Fontaine, H Migaud, A Duquennoy
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):821-8.
• Article: [Cost of sciatica].

  R Trèves, G Faessel, M H Bitterman, C Bonnet, M Arnaud, P Bertin, R Desproges-Gotteron
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):839-41.
• Article: [Sternoclavicular hyperostosis and psoriasis].

  M Caulier, C Dromer, T Billey, M Pagès, R Durroux, B Fournié
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):843-4.
• Article: [Rheumatoid arthritis in Morocco. Apropos of 404 observations].

  S Benamour, B Zeroual, L Fares, H el Kabli, S Bettal
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  ABSTRACT: A retrospective study of 404 cases of rheumatoid arthritis seen in a department of internal medicine in Casablanca highlights a number of specific features of the disease in Morocco. Onset occurred early and mean age of patients was 34.4 years. Analysis of joint manifestations showed that the disease tended to be mild in the hips and perhaps in the cervical spine. Thirty-five percent of patients were Steinbrocker's class II and 25.5% had carpal bone fusion. Only 20 patients had severely erosive disease, which manifested as giant geodes in 8 cases and as main en lorgnette deformity in one case. Subcutaneous nodules (7.9%) and systemic visceral disorders were fairly infrequent. Only three cases of malignant rheumatoid arthritis were found. Gougerot-Sjögren syndrome was present in 13.6% of patients. Among comorbid conditions, thyroid gland diseases and tuberculosis were fairly common. Serologic tests were positive in 61.14% of cases, often in low titres. Gold salt therapy was well tolerated. No patients in this group had surgical treatment. These data suggest that in Morocco rheumatoid arthritis may be less aggressive than in Europe.
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):801-7.
• Article: [Biomaterials for the locomotor apparatus].

  P Hardouin
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):829-33.
• Article: [Rheumatic diseases associated with HIV infection].

  B Taillan, G Garnier, E Ferrari, J G Fuzibet, J F Quaranta, N Gratecos, P Dujardin
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):842.
• Article: [Immunosuppressive therapy of secondary amyloidosis associated with rheumatoid arthritis or Still's disease].

  P Blanche, C J Menkès
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  ABSTRACT: Ten cases of renal amyloidosis associated with rheumatoid arthritis (n = 9) or Still's disease (n = 1) were studied retrospectively. One patient had end-stage renal failure at first presentation, whereas the nine others had nephrotic syndrome without renal failure as the initial manifestation of amyloidosis. In the three untreated patients, renal function deteriorated steadily and dialysis was rapidly necessary. In contrast, among the six patients given chemotherapy, four had normal renal function under therapy. These favorable therapeutic results are analyzed and compared with previously published data on the treatment of secondary amyloidosis.
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):784-9.
• Article: [Dermatomyositis associated with two neoplasms].

  J Granel, C Dromer, S Lassoued, J P Bonhomme, B Fournié
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  ABSTRACT: A case of dermatomyositis in a patient with two different malignancies is reported. Skin lesions cleared only following exeresis of the second tumor. This case provides the opportunity for a discussion of the main theories put forward to explain relationships between dermatomyositis and malignant disease.
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):834-5.
• Article: [Continuous Hallopeau acrodermatitis with osteolysis preceding common psoriasis with oligo-arthritis by 35 years].

  J L Le Quintrec, P Chazerain, J P Campagne, I Cerf, J M Ziza
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):844-6.
• Article: [Long-term results of chymopapain chemonucleolysis].

  P Goupille, P Cotty, B Fouquet, C Anger, V Betheuil, J P Valat
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  ABSTRACT: Results of chemonucleolysis were evaluated (on the basis of residual pain, occupational activities, physical activities, and use of analgesics) in 125 of 162 consecutive patients with lower back pain and sciatica associated with documented vertebral disc protrusion who were managed and followed up for at least five years. Results were satisfactory in 62% of patients. Among 82 patients evaluated during a follow-up visit, 30% were free of symptoms, 38% had lower back pain, and 30% had radicular pain; however, among symptomatic patients, 67% had no limitations of activities of daily living. Results were significantly less favorable in power drill workers and in patients who had chemonucleolysis at the L4-L5 level. These data are evidence that chemonucleolysis provides good long-term results.
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):809-12.
• Article: [BCG osteoarthritis on knee prosthesis after intra-vesical BCG therapy].

  P Chazerain, N Desplaces, J M Ziza, S Perrot, C Cordonnier, M Chanzy
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  ABSTRACT: A case of Calmette-Guérin bacillus (BCG) infection of a knee implant during intravesical BCG-therapy is reported. The course was favorable after replacement of the implant and administration of antituberculous agents. This case of septic osteoarthritis due to the BCG is different from cases of reactive polyarthritis reported after intravesical instillations of BCG. It probably resulted from diffusion of the BCG via the bloodstream.
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):836-8.
• Article: [Association of Crohn disease with joint manifestations and malignant lymphoma].

  P Oriol, P Calmard-Oriol, B Prallet, C Alexandre
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):841-2.
• Article: [Lower back pain in physicians. Epidemiological aspect and risk factors].

  A Furber, S Fanello, Y Roquelaure, F Lelevier, S Le Cardinal, D Penneau-Fontbonne, J C Renier
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  ABSTRACT: The purpose of this study was to evaluate as accurately as possible, in a well-defined population subgroup, the prevalence and incidence of lower back pain, the impact of this symptom on professional activities and personal life, and the influence of risk factors. Members of the medical profession were considered particularly apt to accurately and reliably report their personal experience with lower back pain and were therefore selected for this survey. Five hundred 93-item questionnaires were sent to a representative sample of physicians in the Maine-et-Loire district, France. Response rate was 93%. Prevalence of lower back pain at the time of the survey was 32% and cumulative prevalence was 62%. Static spinal disorders (exaggerated lordosis, scoliosis, unequal length of lower limbs) and injury to the spine were found to be risk factors. Occupation-related stresses to the spine reported as being responsible for lower back pain included bending forward for prolonged periods, lifting weights, driving, and prolonged sitting.
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):777-83.
• Article: [Degenerative spinal disease in an outpatient clinic in Lomé (Togo)].

  M Mijiyawa, K Koumouvi, A Bellow, K N'Dakena, P Doury
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  ABSTRACT: A survey was conducted to determine the frequency and semiological characteristics of degenerative spinal disease in patients attending a hospital rheumatology outpatient clinic in Lomé, Togo. Seven hundred and one of the 1,821 patients seen over a two-year period had degenerative spinal disease. Spinal disease included lower back pain (n = 385), lumbar and radicular pain suggestive of disk protrusion (n = 137), lumbar and radicular pain with claudication suggestive of stenosis of the spinal canal (n = 42), dorsal pain (n = 24), cervical pain (n = 68) and cervical and brachial pain (n = 45). Clinical patterns were similar to those seen in Western countries. However, lumbar and radicular pain with claudication suggestive of stenosis of the spinal canal occurred at a younger age and mainly affected females. These data are in contrast with previous studies suggesting that lumbar and radicular pain due to disk protrusion and stenosis of the spinal canal are uncommon in Black Africa.
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):797-800.
• Article: [Ulnar nerve lesion at the elbow. Epidemiological, clinical and electromyographical data. Apropos of 312 patients].

  P Seror
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  ABSTRACT: Four hundred and ninety-three electromyographic ulnar nerve lesions identified in 312 patients were reviewed. During the same period, 1,000 cases of median nerve entrapment were seen in the same department. Among ulnar nerve lesions, 84% were idiopathic and only 52% were responsible for clinical symptoms. In patients with symptoms, three main patterns of paresthesia were seen: exacerbation at night and/or in the morning upon awakening (39%), permanent isolated paresthesia (34%), and permanent paresthesia with exacerbation at night and/or in the morning upon awakening (27%). Objective sensory loss was found in 1/3 to 1/4 of cases. All patients with muscle wasting (11%) also had sensory loss; muscle strength was markedly decreased in 19% of patients. Pain was mild and infrequent (35%). Electromyographic studies revealed a decrease in motor and sensory conduction velocity at the elbow (mean value 36.2 m/sec). Sensory conduction velocity was the most sensitive parameter for detecting incipient or moderate forms, whereas motor conduction velocity was extremely helpful in severe forms. Eighty-three per cent of patients had alterations of both conduction velocities (sensory and motor). In the mildest forms, nerve conduction velocity was normal (13% of cases); in these patients diagnosis was established on the basis of either a partial motor conduction block (3%) or desynchronization of the sensory action potential (10%).
  Revue du rhumatisme et des maladies ostéo-articulaires 01/1993; 59(12):813-9.
• Article: [A few reflexion themes on the method in therapeutic evaluation].

  G Bouvenot
  Revue du rhumatisme et des maladies ostéo-articulaires 12/1992; 59(11):703-5.
• Article: [Bone and visceral manifestations of lipoatrophic diabetes. Apropos of a case].

  B de Wazieres, D Wendling, T Fest, G Morin, J L Dupond
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  ABSTRACT: Lipoatrophic diabetes, known by pediatricians as Lawrence-Seip disease or Berardinelli lipodystrophy syndrome, is an infrequent condition of which approximately one hundred cases have been published to date. A case in a 24-year-old female with a fifteen-year follow-up is reported. Manifestations included acanthosis nigricans, generalized lipoatrophy, hirsutism, muscle hypertrophy, and intellectual impairment. Biologic tests revealed insulin-resistant diabetes mellitus with major diet-dependent type V hypertriglyceridemia. The patient had nephrotic syndrome (focal and segmental endocapillary proliferative glomerulonephritis without dense deposits). Phosphorus and calcium determinations were normal, as were the endocrinologic tests. Roentgenograms of the bones disclosed increased density of axial bones and large epiphyseal defects with increased bone density as determined by osteodensitometric studies. The bone manifestations of this syndrome have been documented but are often overshadowed by the severe metabolic alterations.
  Revue du rhumatisme et des maladies ostéo-articulaires 12/1992; 59(11):761-4.
• Article: [Gold salt deposits in the conjunctiva in rheumatoid arthritis after gold therapy. A systematic study of 15 biopsies].

  E Mancel, A Janin, B Duquesnoy, B Noachovitch-Rigaut, P Y Hatron, G Constantinides
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  ABSTRACT: Ocular abnormalities have long been recognized as a potential adverse effect of gold therapy in patients with rheumatoid arthritis. Clinical symptoms and ocular tissue lesions possibly related to use of gold therapy were routinely evaluated in eleven patients. There were few clinical manifestations: only one patient had typical accumulation of gold in the anterior crystalloid. In contrast, routine ultrastructural and microprobe studies of conjunctival biopsy specimens disclosed accumulation of gold salts in every case. Gold was visible as aurosomes in the conjunctival macrophages. Aurosomes were seen in patients treated for as little as one month, occurred even with low doses (0.3 g), and were still visible after several years. Duration of accumulation can be roughly estimated on the basis of the morphologic appearance of aurosomes which are lamellar after a few weeks of gold therapy and rod-shaped beyond one month.
  Revue du rhumatisme et des maladies ostéo-articulaires 12/1992; 59(11):715-20.
• Article: [Comparative efficacy of ketoprofen related to the route of administration (intramuscular or per os). A double-blind study versus placebo in rheumatoid arthritis].

  M Dougados, V Listrat, L Duchesne, B Amor
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  ABSTRACT: Evidence of the analgesic effects of nonsteroidal antiinflammatory drugs in human diseases is easy to collect. However, demonstration of differences in the activity of NSAIDs according to the route of administration is considerably more difficult. Forty patients with rheumatoid arthritis were given either one intramuscular injection of 100 mg ketoprofen with two placebo capsules or one intramuscular injection of placebo with two 50 mg ketoprofen capsules. Analysis of changes in pain severity over the six-hour study period failed to disclose any statistically significant differences between the two groups. However, time to peak effectiveness (Tmax) was significantly shorter with the intramuscular route (194 +/- 118 minutes) than with the oral route (276 +/- 111 minutes) (p = 0.029). Although intramuscular NSAID therapy is rarely warranted in RA patients, these findings suggest that RA may serve as a clinical model for evaluating the effectiveness of a NSAID according to the route of administration.
  Revue du rhumatisme et des maladies ostéo-articulaires 12/1992; 59(11):769-73.
• Article: [Candida tropicalis arthritis of the shoulder associated with articular chondrocalcinosis].

  I Cerf, P Hilliquin, P Fritz, M Renoux, C J Menkès
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  ABSTRACT: A case of infection of the scapulohumeral joint following articular infiltrations is reported in a female patient with alcohol-related cirrhosis of the liver. Joint destruction occurred despite appropriate treatment with fluconazole. Candida tropicalis joint infections are seen mainly in immunocompromised hosts and usually cause little destruction of the joint. Most are the result of dissemination via the bloodstream. Preexisting chondrocalcinosis in the patient reported here may have been a contributing factor to the development of extensive joint destruction.
  Revue du rhumatisme et des maladies ostéo-articulaires 12/1992; 59(11):732-4.