Prevalence of fibromyalgia in patients treated at the bariatric surgery outpatient clinic of Hospital de Cl ínicas do Paraná – Curitiba
Conclusions The prevalence of FM in patients with morbid obesity is extremely high. However, BMI does not differ in patients with or without FM. The presence of depression may be a risk factor for the development of FM in these patients. (Source: Revista Brasileira de Reumatologia)
Source: Revista Brasileira de Reumatologia - April 16, 2017 Category: Rheumatology Source Type: research
Clinical outcomes and survival in amyloid A amyloidosis patients
Conclusion Our study indicated that familial Mediterranean fever constituted a large proportion of cases and increased number of patients with idiopathic amyloid A amyloidosis. Additionally, it was observed that patient survival was not affected by different etiological causes in amyloid A amyloidosis. (Source: Revista Brasileira de Reumatologia)
Source: Revista Brasileira de Reumatologia - April 16, 2017 Category: Rheumatology Source Type: research
Critical revision of the medical treatment of gout in Brazil
Publication date: Available online 6 April 2017 Source:Revista Brasileira de Reumatologia (English Edition) Author(s): Valderilio Feijó Azevedo, Maicon Piana Lopes, Nathan Marostica Catholino, Eduardo dos Santos Paiva, Vitor Andrei Araújo, Geraldo da Rocha Castelar Pinheiro Gout is considered the most common form of inflammatory arthritis in men over 40 years. The authors present a brief review of the current treatment of gout and discuss the existing pharmacological limitations in Brazil for the treatment of this disease. Although allopurinol is still the main drug administered for decreasing serum levels of uri...
Source: Revista Brasileira de Reumatologia - April 16, 2017 Category: Rheumatology Source Type: research
Rheumatic fever: update on the Jones criteria according to the American Heart Association review – 2015
Publication date: Available online 10 April 2017 Source:Revista Brasileira de Reumatologia (English Edition) Author(s): Breno Álvares de Faria Pereira, Alinne Rodrigues Belo, Nilzio Antônio da Silva Rheumatic fever is still currently a prevalent disease, especially in developing countries. Triggered by a Group A β-hemolytic Streptococcus infection, the disease may affect genetically predisposed patients. Rheumatic carditis is the most important of its clinical manifestations, which can generate incapacitating sequelae of great impact for the individual and for society. Currently, its diagnosis is made based on the ...
Source: Revista Brasileira de Reumatologia - April 16, 2017 Category: Rheumatology Source Type: research
Socioeconomic and therapy factor influence on self-reported fatigue, anxiety and depression in rheumatoid arthritis patients
Conclusion Socioeconomic predictors of self-reported high depression, anxiety or fatigue are different for each of the mentioned outcomes, while accompanied with the basic RA treatment they exclusively explain a high depression. The anxiety, jointed with the socioeconomic variables and supplemental therapy, is a significant fatigue predictor in RA patients. (Source: Revista Brasileira de Reumatologia)
Source: Revista Brasileira de Reumatologia - March 11, 2017 Category: Rheumatology Source Type: research
Ultrasound color histogram assessment allows better view of echotexture damage
ABSTRACT Contraception is an important issue and should be a matter of concern in every medical visit of adolescent and young patients with chronic rheumatic diseases. This narrative review discusses contraception methods in adolescents with juvenile systemic lupus erythematosus (JSLE), antiphospholipid syndrome (APS), juvenile idiopathic arthritis (JIA) and juvenile dermatomyositis (JDM). Barrier methods are safe and their use should be encouraged for all adolescents with chronic rheumatic diseases. Combined oral contraceptives (COC) are strictly prohibited for JSLE and APS patients with positive antiphospholipid antibodi...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Intracardiac thrombosis in Behçet's disease: a life threatening event
ABSTRACT Contraception is an important issue and should be a matter of concern in every medical visit of adolescent and young patients with chronic rheumatic diseases. This narrative review discusses contraception methods in adolescents with juvenile systemic lupus erythematosus (JSLE), antiphospholipid syndrome (APS), juvenile idiopathic arthritis (JIA) and juvenile dermatomyositis (JDM). Barrier methods are safe and their use should be encouraged for all adolescents with chronic rheumatic diseases. Combined oral contraceptives (COC) are strictly prohibited for JSLE and APS patients with positive antiphospholipid antibodi...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Paraneoplastic necrotizing myopathy – a case report
ABSTRACT Contraception is an important issue and should be a matter of concern in every medical visit of adolescent and young patients with chronic rheumatic diseases. This narrative review discusses contraception methods in adolescents with juvenile systemic lupus erythematosus (JSLE), antiphospholipid syndrome (APS), juvenile idiopathic arthritis (JIA) and juvenile dermatomyositis (JDM). Barrier methods are safe and their use should be encouraged for all adolescents with chronic rheumatic diseases. Combined oral contraceptives (COC) are strictly prohibited for JSLE and APS patients with positive antiphospholipid antibodi...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Contraception for adolescents with chronic rheumatic diseases
ABSTRACT Contraception is an important issue and should be a matter of concern in every medical visit of adolescent and young patients with chronic rheumatic diseases. This narrative review discusses contraception methods in adolescents with juvenile systemic lupus erythematosus (JSLE), antiphospholipid syndrome (APS), juvenile idiopathic arthritis (JIA) and juvenile dermatomyositis (JDM). Barrier methods are safe and their use should be encouraged for all adolescents with chronic rheumatic diseases. Combined oral contraceptives (COC) are strictly prohibited for JSLE and APS patients with positive antiphospholipid antibodi...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Relevant aspects of imaging in the diagnosis and management of gout
ABSTRACT Gout is an inflammatory arthritis characterized by the deposition of monosodium urate crystals in the synovial membrane, articular cartilage and periarticular tissues leading to inflammation. Men are more commonly affected, mainly after the 5th decade of life. Its incidence has been growing with the population aging.In the majority of the cases, the diagnosis is made by clinical criteria and synovial fluid analysis, in search for monosodium urate crystals. Nonetheless, gout may sometimes have atypical presentations, complicating the diagnosis. In these situations, imaging methods have a fundamental role, aiding in...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Locomotive syndrome in the elderly: translation, cultural adaptation, and Brazilian validation of the tool 25-Question Geriatric Locomotive Function Scale
Conclusion: GLFS 25-P proved to be a reliable and valid tool in Locomotive Syndrome screening for the elderly population.RESUMO Objetivo: O termo s índrome locomotora (SL) designa condições nas quais os idosos apresentam alto risco de incapacidade para deambulação em decorrência de problemas em órgãos locomotores. Para seu rastreio foi criado o 25-Question Geriatric Locomotive Function Scale (GLFS-25). Objetivou-se aqui, traduzir, adapt ar transculturalmente para o Brasil e estudar as propriedades psicométricas do GLFS-25. Método: Feitas tradução e adaptação transcultural do GLFS-25 que originaram o GLFS 25...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Swiss ball exercises improve muscle strength and walking performance in ankylosing spondylitis: a randomized controlled trial
Conclusions: Progressive muscle strengthening using a Swiss ball is effective for improving muscle strength and walking performance in patients with AS.RESUMO Objetivo: Avaliar a efetividade de um programa de fortalecimento muscular progressivo com o uso de uma bola su íça em pacientes com espondilite anquilosante (EA). Métodos: Sessenta pacientes com EA foram randomizados em grupo intervenção (GI) ou grupo controle (GC). Os pacientes com EA fizeram oito exercícios com pesos livres em uma bola suíça duas vezes por semana durante 16 semanas. As avaliaçõe s foram feitas por um avaliador cego no início do estudo ...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Secondary hyperalgesia occurs regardless of unilateral or bilateral knee osteoarthritis involvement in individuals with mild or moderate level
Conclusion: These findings suggest that individuals with mild to moderate knee osteoarthritis had primary and secondary hyperalgesia, independent of unilateral or bilateral involvement. These results suggest that the pain have to be an assertive focus in the clinical practice, independent of the level of severity or involvement of knee osteoarthritis.RESUMO Introdu ção: A ocorrência de hiperalgesia secundária em indivíduos com níveis menos graves de osteoartrite de joelho ainda é incerta. O objetivo deste estudo foi medir o limiar de dor à pressão (LDP) de indivíduos com osteoartrite de joelho (OAJ) leve ou mode...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Effects of plantar foot sensitivity manipulation on postural control of young adult and elderly
Conclusion: Elderly subjects seem to rely more on foot sensitivity for control of body sway than young adults. In the elderly, a clinical intervention to improve foot sensitivity may help in upright posture maintenance.RESUMO Introdu ção: Pessoas com perdas sensoriais apresentam déficits de equilíbrio. Embora esse quadro seja comum em idosos, ainda se discute o quanto idosos sem doenças que afetam as vias sensoriais dependem dessa informação para controlar oscilações corporais durante o controle da postura. Objetivo: I nvestigar os efeitos da perturbação da sensibilidade plantar sobre o controle da postura ere...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
Medication adherence in patients with juvenile idiopathic arthritis
Conclusion: Our findings showed problems in the adherence process related to inattention, forgetfulness and irregularity in getting medicines, reinforcing the need for the development of strategies to facilitate a better understanding of treatment and to ensure adherence.RESUMO Objetivo: Investigar a ades ão ao tratamento farmacológico de pacientes com artrite idiopática juvenil, atendidos na farmácia ambulatorial de hospital terciário do Nordeste do Brasil. Métodos: A análise da adesão foi feita junto aos cuidadores, por meio de questionário estruturado com base no teste de Morisky, Green e Levine, que viabiliz...
Source: Revista Brasileira de Reumatologia - March 3, 2017 Category: Rheumatology Source Type: research
