A case of rheumatoid arthritis improved from Steinbrocker classification class IV to class II after multi-joint surgery
| Autor: | Eiichiro Yoshikawa, Kotaro Matsuda, Yasuhiro Mitsui, Takaaki Fukuda, Masafumi Gotoh, Mayumi Yano, Shinichiro Kume, Kensei Nagata, Takahiro Okawa, Fujio Higuchi, Seiyo Honda |
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| Rok vydání: | 2013 |
| Předmět: |
musculoskeletal diseases
Male Methicillin-Resistant Staphylococcus aureus medicine.medical_specialty Nephrotic Syndrome Joint replacement medicine.medical_treatment Arthritis Rheumatoid Diabetes Complications Pulmonary Disease Chronic Obstructive Pharmacotherapy Rheumatology Diabetes mellitus medicine Elbow Arthroplasty replacement Humans Arthroplasty Replacement Gait Inflammation Multi joint business.industry General Medicine Middle Aged Staphylococcal Infections medicine.disease Arthroplasty Surgery Anti-Bacterial Agents Rheumatoid arthritis business Nephrotic syndrome |
| Zdroj: | The Kurume medical journal. 59(3-4) |
| ISSN: | 1881-2090 |
| Popis: | We report the case of a patient with rheumatoid arthritis (RA) who showed a reduction in disease severity (from class IV to class II) after multi-joint surgery. The patient was a 61-year-old man with a history of RA, type-2 diabetes, chronic obstructive pulmonary disease, and nephrotic syndrome. He had been undergoing treatment for RA for the past 10 years, but his condition could not be appropriately controlled. In addition to generalized edema, marked destruction of the left elbow joint and knees was observed, and he was unable to move in bed (Steinbrocker classification: stage IV, class IV). In March 2009, he developed suppurative arthritis of the left elbow (methicillin-sensitive Staphylococcus aureus [MSSA] infection) and was referred to our institution, where the infection subsided after cleaning of the wound and administration of antibiotics. In March 2010, he underwent artificial joint replacement arthroplasty of the left elbow, followed by replacement arthroplasty of the right knee in July that year and of the left knee in November. As of December 2011, the patient showed no signs of inflammatory reactions and was able to walk using crutches (Steinbrocker classification: stage IV, class II). Recent advancements in pharmacotherapy have made it possible to control the advancement of joint destruction in RA. However, in this patient, because of the advanced stage of joint destruction, surgical methods were required to aid the patient in recovering his ability to walk. |
| Databáze: | OpenAIRE |
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