Risk factors for osteonecrosis severity among Egyptian systemic lupus erythematosus patients: Magnetic resonance imaging (MRI) staging
Autor: | Amal Ibrahim Ahmed Othman, Takwa B. Younes, Sherin Mohamed Hosny Hamza, Nermine Samy |
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Rok vydání: | 2019 |
Předmět: |
lcsh:Immunologic diseases. Allergy
030203 arthritis & rheumatology medicine.medical_specialty medicine.diagnostic_test business.industry Visual analogue scale Systemic lupus Arthritis Magnetic resonance imaging medicine.disease 03 medical and health sciences Femoral head 0302 clinical medicine medicine.anatomical_structure Rheumatology Internal medicine medicine Medical history 030212 general & internal medicine lcsh:RC581-607 business Serositis Nephritis |
Zdroj: | Egyptian Rheumatologist, Vol 41, Iss 4, Pp 295-301 (2019) |
ISSN: | 1110-1164 |
DOI: | 10.1016/j.ejr.2018.12.007 |
Popis: | Aim of the work: To determine the risk factors of bilateral and severe (advanced) osteonecrosis femoral head (ONFH) as assessed by magnetic resonance imaging (MRI) staging in Egyptian SLE patients. Patients and methods: Sixty SLE patients were studied and subdivided into two groups according to the presence or absence of symptomatic osteonecrosis. Full medical history, musculoskeletal examination, laboratory and serologic tests were done to all patients. SLE disease activity index (SLEDAI), systemic lupus international collaboration clinics damage index (SLICC/DI), health assessment questionairre (HAQ) disability index and the visual analogue scale (VAS-pain) were assessed. 30 patients with symptomatic ONFH were identified and staged by MRI according to Ficat and Arlet classification. Dual energy x-ray absorptiometry (DEXA) scan was performed. Results: The mean age at-onset of patients with ONFH was significantly lower than those without (20.7 ± 5.9 vs 30.4 ± 7.9 years; p |
Databáze: | OpenAIRE |
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