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  1. Rheumatic manifestations in patients with thromboangiitis obliterans (Buerger's disease).

    Article - En anglais

    Objective

    To evaluate articular involvement in a large cohort of patients with thromboangiitis obliterans (TAO).

    Methods

    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.

    Results

    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.

    Conclusion

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0444516

    Code Inist : 002B07. Création : 22/03/2000.