Rheumatic manifestations in patients with thromboangiitis obliterans (Buerger's disease).
To evaluate articular involvement in a large cohort of patients with thromboangiitis obliterans (TAO).
A retrospective chart review of all patients with TAO admitted to our rheumatology or vascular medicine departments between 1975 and 1995 was undertaken.
Patients with a history of osteoarticular involvement were further investigated.
This evaluation entailed taking a detailed rheumatologic and musculoskeletal history and physical examination.
Laboratory tests and osteoarticular radiographs were obtained.
Initial rheumatic manifestations were observed in 11 (12.5%) (7 male/4 female) of 83 (71 male/12 female) patients with TAO.
Eight patients presented recurrent episodes of arthralgia, which preceded the diagnosis of TAO by 2 to 13 years (median 10 years).
The episodes were monoarticular, acute, transient, and migratory, affected large joints with local inflammatory signs, and were nonerosive.
The initial diagnosis often referred to a loco-regional or periarticular problem that tended to recur.
There was permanent disappearance of these prodromal rheumatic features with the appearance of ischemic features.
Two patients had HLA-B27+undifferentiated spondyloarthropathies and one presented oligoarthritis.
TAO should be considered in patients presenting intermittent rheumatism. (...)
Mots-clés Pascal : Thromboangéite oblitérante, Association, Symptomatologie, Arthrite, Intermittent, Arthralgie, Epidémiologie, Prévalence, Homme, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Maladie système, Arthropathie, Buerger maladie
Mots-clés Pascal anglais : Thromboangeitis obliterans, Association, Symptomatology, Arthritis, Intermittent, Arthralgia, Epidemiology, Prevalence, Human, Cardiovascular disease, Vascular disease, Systemic disease, Arthropathy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0444516
Code Inist : 002B07. Création : 22/03/2000.