Jaccoud-type lupus arthropathy: practical classification criteria.
作者： Mittermayer Santiago
DOI: 10.1136/LUPUS-2020-000405
关键词:
摘要: To the Editor, In 1869, Francois-Sigismond Jaccoud1 described a young patient with rheumatic fever (RF) and chronic joint deformities. As homage to this physician, these deformities are known as Jaccoud’s arthropathy (JA). Classical observed in JA, such swan neck, thumb subluxation, ulnar deviation ‘ boutonniere ’, similar those seen rheumatoid arthritis (RA) but characteristically ‘reducible’ passive movement. Moreover, on plain radiographs, there no erosions. RF has now become rare, JA been association several other disorders, particularly SLE. Although less common, it also diffuse connective tissue disorders (DCTDs) systemic sclerosis, polymyositis, Sjogren’s syndrome vasculitis, well neoplastic diseases even normal individuals. Although pattern of is majority cases, most advanced joints may fixed, sometimes referred ‘severe JA’,2 which clinically difficult distinguish from RA. In situations, misdiagnosis dangerous consequences. Having set classification criteria for mandatory two main reasons, namely: (A) standardising patients …
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