Subject(s)
Antirheumatic Agents/therapeutic use , Arthritis, Psoriatic/drug therapy , Cyclosporine/therapeutic use , Adult , Aged , Female , Humans , Male , Middle Aged , Time FactorsABSTRACT
A case of the rheumatoid-like polyarthritis-associated microprolactinoma is described. Its main clinical features are underlined, and its possible pathogenic mechanisms are reported.
Subject(s)
Arthritis/complications , Pituitary Neoplasms/complications , Prolactinoma/complications , Adult , Arthritis, Rheumatoid/complications , Female , HumansABSTRACT
The Authors point out the high frequency of viral infections in a sample of IVDAs. The most significant infections that emerged are CMV and HCV diseases, in contrast with other epidemiological studies.
Subject(s)
Prisoners , Substance Abuse, Intravenous/complications , Virus Diseases/etiology , Adult , Antibodies, Viral/analysis , Cytomegalovirus/immunology , Hepacivirus/immunology , Hepatitis Antibodies/analysis , Humans , MaleABSTRACT
A case of rheumatic fever with severe heart involvement, in which articular rheumatoid-like features involving both hands appeared many years after clinical onset, is described. After reviewing the articular sequelae of rheumatic fever and describing the clinical features of each form, the authors point out the main differences between rheumatic fever and rheumatoid arthritis, and diagnose Jaccoud's arthritis.
Subject(s)
Arthritis, Rheumatoid/etiology , Rheumatic Fever/complications , Arthritis, Rheumatoid/diagnosis , Chronic Disease , Diagnosis, Differential , Female , Hand Deformities, Acquired/diagnosis , Hand Deformities, Acquired/etiology , Humans , Middle Aged , Rheumatic Fever/diagnosis , Rheumatic Heart Disease/complications , Rheumatic Heart Disease/diagnosis , SyndromeABSTRACT
The treatment of postmenopausal osteoporosis has been thoroughly studied in recent years, because of the large diffusion of this condition. The therapeutic use of synthetic calcitonin from salmon, associated with oral calcium, has been successfully performed in 18 women out of 20, aged 55-65 years old, all suffering from postmenopausal osteoporosis without bone fractures. The dose used (100 MRC), the type of administration, and the duration of treatment (1 injection i.m. daily, for 30 days, and 1 every other day, for the next 60 days), can be taken as a useful therapeutical scheme, also by the general practitioner.
Subject(s)
Calcitonin/therapeutic use , Osteoporosis, Postmenopausal/drug therapy , Aged , Animals , Calcitonin/adverse effects , Calcitonin/chemical synthesis , Evaluation Studies as Topic , Female , Humans , Middle AgedABSTRACT
After describing peripheral rheumatoid neuropathy and pointing out its increased frequency after the advent of steroid therapy, the Authors describe a case brought to their attention at the Rheumatology Division of the Ospedale San Camillo De Lellis.
Subject(s)
Cortisone/adverse effects , Peripheral Nervous System Diseases/chemically induced , Arthritis, Rheumatoid/drug therapy , Cortisone/therapeutic use , Female , Humans , Middle AgedSubject(s)
Intervertebral Disc , Orthotic Devices , Osteoarthritis/therapy , Spinal Diseases/therapy , Adult , Aged , Female , Humans , Lumbar Vertebrae , Male , Middle AgedABSTRACT
The first part of the report confirms the nosographic autonomy of juvenile rheumatoid arthritis (JRA) in the light of recent international discoveries. The second part identifies the particular clinical and evolutive aspects of the disease that are now universally accepted but still the subject of further research.
Subject(s)
Arthritis, Juvenile/physiopathology , Arthritis, Juvenile/classification , Arthritis, Juvenile/immunology , HumansABSTRACT
The first part of the paper describes the major clinical aspects of psoriatic arthritis. The second part examines the complex problem of therapy on the basis of personal experience in order to give the practical clinician guidance in the treatment and control of the condition.
Subject(s)
Arthritis/diagnosis , Psoriasis/diagnosis , Adult , Anti-Inflammatory Agents/therapeutic use , Arthritis/therapy , Combined Modality Therapy , Female , Humans , Male , Prognosis , Psoriasis/therapyABSTRACT
The drugs used in the treatment of rheumatoid arthritis are divided into two classes: a "first aid" and a "back up" group. The synthetic antimalarial drugs examined belong to the second group. Table 1 assesses the pros and cons of such treatment and clearly indicates the prevalence of its advantages.
Subject(s)
Arthritis, Rheumatoid/drug therapy , Chloroquine/therapeutic use , Hydroxychloroquine/therapeutic use , Quinacrine/therapeutic use , Drug Evaluation , Enzyme Inhibitors , Histamine H1 Antagonists , Humans , Time FactorsABSTRACT
After an examination of the three operational stages in the modern concept of preventive medicine, the main pathogenetic cofactors in secondary arthrosis following chronic microtraumatisation are identified, described and evaluated in order to establish the correct preventive approach to the condition in helicopter pilots.
Subject(s)
Aerospace Medicine , Arthritis/prevention & control , Occupational Diseases/prevention & control , Spinal Diseases/prevention & control , Aircraft , Arthritis/etiology , Chronic Disease , Humans , Posture , Spinal Diseases/etiology , Spinal Injuries/complicationsABSTRACT
Helicopter pilots subjected to "chronic microtraumatism" related to the constant vibration present in this type of aircraft are considered. The most suitable physiokinetic treatment in the prevention of cervical spondylodiscarthrosis is discussed. Spondylodiscarthrosis is the most common and debilitating problem affecting helicopter personnel.
Subject(s)
Occupational Diseases/prevention & control , Spinal Diseases/prevention & control , Aerospace Medicine , Aircraft , Cervical Vertebrae/physiopathology , Humans , Intervertebral Disc/physiopathology , Physical Therapy Modalities , Posture , Vibration/adverse effectsABSTRACT
The various stages in the diagnostic process are discussed with particular reference to rheumatology. Consideration is given to recent "early" and "preclinical" diagnosis concepts, and these are applied to the aircrew category. The main "rheumatological emergencies" are listed and described for the purposes of that "specialised" prevention constantly needed to a greater extent, not only in the complex, demanding activity of aircrew, but also in the wider "world of labour", as currently conceived.
Subject(s)
Aerospace Medicine , Collagen Diseases/diagnosis , Emergencies/prevention & control , Gout/prevention & control , Humans , Hydrarthrosis/prevention & control , Salicylates/poisoning , Sciatica/prevention & controlABSTRACT
Following a brief description of the "mechanical factor" and chronic "microtraumatism" in the pathogenesis of arthrosis, the clinical case of a helicopter pilot with almost 15 years service is reported. Unlike frequently observed cases, the present case presented "total" involvement of the rachis, thus posing a number of problems of differential diagnosis with ankylosing spondylitis. Clinico-laboratory and X-ray data permitted precise diagnosis.
Subject(s)
Aerospace Medicine , Osteoarthritis/diagnosis , Spinal Diseases/diagnosis , Adult , Diagnosis, Differential , Glucosamine/analogs & derivatives , Glucosamine/therapeutic use , Humans , Indomethacin/analogs & derivatives , Indomethacin/therapeutic use , Male , Osteoarthritis/diagnostic imaging , Osteoarthritis/drug therapy , Phenylbutazone/therapeutic use , Radiography , Spine/diagnostic imaging , Spondylitis, Ankylosing/diagnosisABSTRACT
Following aetiopathogenetic and anatomopathological examination of arthrosis, chronic microtraumatism, often below the threshold of subjective perception, is indicated as a component, aggravating factor in the disease. During flight, especially if the aircraft is a helicopter, these microtraumas (triggered by the varied motions of the craft and its vibrations) operate continually on joints and muscles and so, along with other factors of anatomical and biochemical nature, cause an aggravation to arthrosis in flying personnel, particularly in the vertebral tract.