Physical Examination - Still Relevant in Sjögren Syndrome
| Autor: | R. Hal Scofield |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Whispered pectoriloquy Stethoscope Inflammatory arthritis Immunology Physical examination Salivary Glands law.invention 03 medical and health sciences 0302 clinical medicine Rheumatology law Internal medicine Immunology and Allergy Medicine Humans Fremitus Physical Examination 030203 arthritis & rheumatology medicine.diagnostic_test business.industry Epithelial Cells Egophony Lymphoma B-Cell Marginal Zone medicine.disease Dermatology 030104 developmental biology Sjogren's Syndrome Rheumatoid arthritis Atrophy business |
| Zdroj: | The Journal of rheumatology. 45(11) |
| ISSN: | 0315-162X |
| Popis: | These days every article requires disclosure of conflicts. And I have one for this editorial — I am a “physical examination” kind of doctor. Surely that is true of almost all rheumatologists because, despite the advances in ultrasound and magnetic resonance imaging, demonstration of the presence of inflammatory arthritis is still largely based on physical examination. And the usefulness of the physical examination is not limited to rheumatology. The techniques developed by Rene Laennec in part for his newly invented stethoscope (whispered pectoriloquy, egophony, and fremitus) along with the technique developed by Leopold Auenbrugger (percussion)1 are highly sensitive and specific for identifying lung infiltrates and effusions2. A seasoned examiner can diagnose aortic insufficiency more accurately than either M-mode or 2-dimensional echocardiogram3. Thus, the physical examination remains alive and well. Sjogren syndrome (SS) is a common problem, perhaps second only to rheumatoid arthritis among conditions that cause an inflammatory arthritis4. It can be considered an autoimmune epithelitis5, and predominately affects the exocrine organs. In fact, patients with primary SS can be conveniently divided … Address correspondence to Dr. H. Scofield, 825 NE 18th St., Oklahoma City, Oklahoma 73104, USA. E-mail: hal-scofield{at}omrf.ouhsc.edu. |
| Databáze: | OpenAIRE |
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