ムチランス型関節炎
WordNet
- inflammation of a joint or joints
PrepTutorEJDIC
- 関節炎
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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/09/09 16:22:01」(JST)
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Arthritis mutilans, is a rare arthropathy originally described as affecting the hands, feet, fingers, and/or toes, but refers in general to severe derangement of any joint.[1] In the hands, it is also known as opera glass hand (la main en lorgnette), or chronic absorptive arthritis, first described in modern medical literature by Marie and Leri in 1913.[2][3] Sometimes there is foot involvement in which toes shorten and on which painful calluses develop in a condition known as opera glass foot, or pied en lorgnette.[4][5]
Contents
- 1 Etiology
- 2 Symptoms
- 3 Treatment
- 4 References
Etiology
Arthritis mutilans occurs mainly in patients with psoriatic arthritis and rarely advanced rheumatoid arthritis, but can occur independently.[4][5]
Symptoms
In arthritis mutilans, a patient's fingers become shortened by arthritis, and the shortening may become severe enough that the hand looks paw-like, with the first deformity occurring at the interphalangeal and metacarpophalangeal joints. The excess skin from the shortening of the phalanx bones becomes folded transversely, as if retracted into one another like opera glasses, hence the description la main en lorgnette. As the condition worsens, luxation, phalangeal and metacarpal bone absorption, and skeletal architecture loss in the fingers occurs.[4] MRI bone edema scores are high in arthritis mutilans and correlate with radiographic measures of joint damage, although they may not correlate with disease activity.[6]
Treatment
Although a 2011 research article stated that disagreements between hand surgeons and rheumatologists remain regarding the indications, timing and effectiveness of rheumatoid hand surgery,[7] arthritis mutilans may be successfully treated by iliac-bone graft and arthrodesis of the interphalangeal joints and the metacarpophalangeal joint in each finger.[8][4]
References
- ^ Nielsen, Børge, and Egill Snorrason, Arthritis mutilans, Acta Radiologica [Old Series], November 1946 os-27: 607-616, doi:10.1177/028418514602700605 (doi given by sagepub.com returns a doi error on 2014-4-11; reported.)
- ^ Nelson, L. S., The Opera-Glass Hand in Chronic Arthritis. "La Main en Lorgnette" of Marie and Leri, Journal of Bone and Joint Surgery, 20:1045-1049, 1938-10-1. Accessed 2012-6-7.
- ^ Solomon, W.M., Stecher, R.M., Chronic Absorptive Arthritis or Opera-Glass Hand, Annals of the Rheumatic Diseases: report of 8 cases, September 1950, 9(3):209–220, ncbi.nlm.nih.gov. PMID 14783359. Accessed 2012-6-7.
- ^ a b c d Froimson, Avrum I., M.D., Hand Reconstruction in Arthritis Mutilans A Case Report, Journal Of Bone and Joint Surgery, 53-A:7, 1971-10-1, pp. 1377-1382. PMID 4939959. Accessed 2012-6-7.
- ^ a b Eisenstadt, H. B., and Eggers, G.W.N., Arthritis Mutilans, Journal of Bone and Joint Surgery, 37-A:337-346, April 1955. PMID 14367425. Accessed 2014-4-11.
- ^ Tan Y. M., et al, MRI bone oedema scores are higher in the arthritis mutilans form of psoriatic arthritis and correlate with high radiographic scores for joint damage, Arthritis Research & Therapy, 11(1) 2009. PMID 19126234. Accessed 2015-11-15.
- ^ Chung, Kevin C., and Pushman, Allison G., Current Concepts in the Management of the Rheumatoid Hand, Journal of Hand Surgery, April 2011, 36(4):736–747. PMID 21463736. doi:10.1016/j.jhsa.2011.01.019. Accessed 2014-4-11.
- ^ Nalebuff EA, Garrett J (1976). "Opera-glass hand in rheumatoid arthritis". J Hand Surg Am. 1 (3): 210–20. doi:10.1016/s0363-5023(76)80040-8. PMID 1018089.
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Arthropathies (M00–M19, 711–719)
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UpToDate Contents
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- 1. 乾癬性関節炎の臨床症状および診断 clinical manifestations and diagnosis of psoriatic arthritis
- 2. 関節リウマチの診断および鑑別診断 diagnosis and differential diagnosis of rheumatoid arthritis
- 3. 乾癬性関節炎の治療 treatment of psoriatic arthritis
- 4. 混合性結合組織病の臨床症状 clinical manifestations of mixed connective tissue disease
- 5. 乾癬性若年性特発性関節炎：病因、臨床症状、および診断 psoriatic juvenile idiopathic arthritis pathogenesis clinical manifestations and diagnosis
English Journal
- Efficacy of Vinblastine and Prednisone in Multicentric Reticulohistiocytosis With Onset in Infancy.
- Jha VK1, Kumar R2, Kunwar A3, Singh A2, Kumar M4, Kumar M1, Prasad R2.
- Pediatrics.Pediatrics.2016 Jun;137(6). pii: e20152118. doi: 10.1542/peds.2015-2118.
- Multicentric reticulohistiocytosis (MRH) is a rare histiocytic proliferative disorder of uncertain etiology, characterized by mucocutaneous papulonodular lesions and progressive, symmetric erosive arthritis. MRH can coexist with various autoimmune disorders, tuberculosis, and malignancy. It usually
- PMID 27199388
- Psoriatic arthritis: An assessment of clinical, biochemical and radiological features in a single-centre South African cohort.
- Maharaj AB1, Rajkaran M, Govender J, Maharaj K, De Vries N, Tak PP.
- South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.S Afr Med J.2016 May 5;106(6). doi: 10.7196/SAMJ.2016.v106i6.10347.
- BACKGROUND: Although psoriatic arthritis (PsA) is a well-documented clinical entity, epidemiological, clinical and radiological studies of South African (SA) patients are scarce.OBJECTIVES: To assess clinical, biochemical and radiological features in a single-centre SA cohort.METHODS: We conducted a
- PMID 27245733
- Diagnostic imaging of psoriatic arthritis. Part I: etiopathogenesis, classifications and radiographic features.
- Sudoł-Szopińska I1, Matuszewska G2, Kwiatkowska B3, Pracoń G2.
- Journal of ultrasonography.J Ultrason.2016 Mar;16(64):65-77. doi: 10.15557/JoU.2016.0007. Epub 2016 Mar 29.
- in
English, PolishŁuszczycowe zapalenie stawów jest jednostką należącą do grupy zapaleń kręgosłupa z towarzyszącym zapaleniem stawów obwodowych (spondyloarthritis, SpA). Choroba ma różne manifestacje kliniczne – może przebiegać z zajęciem stawów obwodowych, jak również kręg
Japanese Journal
- Arthritis Mutilans in a Patient with Juvenile Idiopathic Arthritis
- Incidence and Aggravation of Cervical Spine Instabilities in Rheumatoid Arthritis : A Prospective Minimum 5-Year Follow-up Study of Patients Initially Without Cervical Involvement
- Multicentric reticulohistiocytosis with elevated cytokine serum levels
Related Links
- Picture of Psoriasis A reddish, scaly rash often located over the surfaces of the elbows, knees, scalp, and around or in the ears, navel, genitals or buttocks... ... Arthritis mutilans: An extremely severe form of chronic rheumatoid or psoriatic arthritis ...
- ar·thri·tis mu·'ti·lans a form of chronic rheumatoid arthritis in which osteolysis occurs with extensive destruction of the joint cartilages and bony surfaces with pronounced deformities, chiefly of the hands and feet; similar changes occur ...
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