• Title/Summary/Keyword: Chronic arthritis

Search Result 373, Processing Time 0.025 seconds

Subcutaneous tissue calcification in a patient with rheumatoid arthritis (류마티스 관절염 환자에서 발생한 피하조직 석회화)

  • Kim, Dong Hyun;Kim, Kyung Jin;Kwon, Sung Min;Cha, Sung Ouk;Lee, Jung Ouk
    • Journal of Yeungnam Medical Science
    • /
    • v.33 no.2
    • /
    • pp.120-124
    • /
    • 2016
  • Subcutaneous tissue calcification in rheumatic diseases usually occurs in connective tissue diseases, such as systemic lupus erythematosus, scleroderma, and dermatomyositis. Domestic cases of calcification in rheumatoid arthritis have not been reported. The mechanism of subcutaneous tissue calcification may differ depending on the cause and it can develop on all parts of the body. Calcification occurring in rheumatic diseases is a major mechanism of tissue damage caused by chronic inflammation. No standard therapy for calcification has been established; however, many studies have reported on medical and surgical treatment. We report on subcutaneous tissue calcification in a rheumatoid arthritis patient tissue calcification on both sides of the buttocks, the upper limbs, and the lower limbs.

Secondary Septic Arthritis Due to Lateral Malleolar Bursitis -A Case Report- (외과 점액낭염에서 발생한 2차적 화농성 관절염 -증례보고 1예-)

  • Ji, Jong-Hoon;Kim, Weon-Yoo;Lee, Yean-Soo;Park, Sang-Eun;Ra, Ki-Hang;Kwon, Oh-Soo
    • Journal of Korean Foot and Ankle Society
    • /
    • v.10 no.2
    • /
    • pp.274-278
    • /
    • 2006
  • Lateral malleolar bursitis rarely progresses to septic arthritis. In our case, the 27 year old man visited due to progressive left ankle pain, despite the antibiotics treatment of lateral malleolar bursitis. 8 years ago, modified Brostrom procedure was performed owing to chronic ankle instability. Previous surgery altered anatomical structure of lateral ankle bursa, so it may cause the infection to spread to the ankle joint. We reported rare case of secondary septic arthritis caused by lateral malleolar bursitis.

  • PDF

A Comparative Study on Pain, Fatigue, Flexibility and Health status between Patients with Self-Exercise and Patient without Self-Exercise (만성관절염 환자의 자가운동에 따른 통증, 피로, 유연성, 건강상태의 비교연구)

  • Kim, Sun-Ae;Kim, Jong-In
    • Journal of muscle and joint health
    • /
    • v.9 no.2
    • /
    • pp.177-186
    • /
    • 2002
  • The purpose of this study was examine the effect of self-exercise on patients with chronic arthritis. This study was performed from 1999 to 2001 with 107 subjects. Pain, Fatigue, Flexibility and Health status were measured. Data were analysed by SPSSWIN 10. 0 Package program, frequency, independent t-test and One Way ANOVA. The results were as follows : Of the 107 patients who were sutdied, mean age was 62 years and most of common disease were osteoarthritis. 67.4%was doing self-exercise and self-exercise consisted of 17 types of exercise. Fatigue was statistically different by disease type, duration of disease, education respectively. And fatigue, left shoulder flexibility were significantly different by duration of disease. There weren't significant differences between patient with self-exercise and patient without self-exercise on pain fatigue, flexibility and halth status. These findings confirms that self-exercise do not effective in increasing health improvement for the patients with osteoarthritis. From results of this study indicate that patients with arthritis should have taken systematic exercise such as the self-help education program aquatic exercise program for arthritis patient.

  • PDF

Inhibitory Effects of Soyeum Pharmacopuncture (SPP) on Rheumatoid Arthritis in Collagen II-induced Arthritis (CIA) Mice (소염약침액이 Collagen II 유발 관절염 mouse의 TNF-α, IFN-γ 생성 및 비장세포 증식에 미치는 영향)

  • Yoo, Hwa-Seung;Youn, Dae-Hwan;Kim, Seung-Hyung;Lim, Jong-Soon
    • Journal of Pharmacopuncture
    • /
    • v.10 no.2 s.23
    • /
    • pp.31-40
    • /
    • 2007
  • Objective : The aim is to examine the effect of Soyeum Pharmacopuncture (SPP) on collagen-induced arthritis (CIA) in DBA/1OlaHsd mice. Methods : To determine the effect of SPP on chronic IFNlammatory joint disease, we induced CIA in DBA/1OlaHsd mice by immunization with bovine type II collagen. Animals were treated with intraperitoneal injection doses of 2 mg/kg of SPP, beginning 3 days before the expected onset of disease symptoms. Inhibitory Effects of SPP were observed by serum levels of TNF-${\alpha}$, and IFN-${\gamma}$,,, or cell proliferation in the spleen cell culture and histological examination of knee joint. Results : In the CIA Mice, serum levels of TNF-${\alpha}$, and IFN-${\gamma}$,, production in the spleen cell culture were reduced. At the histopathological examination of knee joint, chondropathy of cartilage in the synovial joint in the SP group was repaired while compared with control group. Conclusion : These results suggest that the SPP may be effective for the prevention and treatment of rheumatoid arthritis disease.

A Latent Class Analysis and Predictors of Chronic Diseases -Based on 2014 Korea National Health and Nutrition Examination Survey- (만성질환에 관한 잠재계층분석과 예측요인 -2014 국민건강영양조사를 중심으로-)

  • Kim, Woo-Jin;Lee, Song-Yi
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.6
    • /
    • pp.324-333
    • /
    • 2018
  • The aim of this study was to investigate the latent classes and predictors of chronic diseases such as hypertension, dyslipidemia, arthritis, thyroid disease, depression, atopy, allergy, and diabetes. The subjects of this study were Korean citizens who participated in the Korea National Health and Nutrition Examination Survey in 2014. Stratified cluster sampling method was used with a sample size of 7,550. Latent hierarchy analysis was applied to this data. Four classes were identified. Class 1 consisted of participants with hypertension and diabetes. Class 2 consisted of participants with atopy and allergies. Class 3 consisted of participants with dyslipidemia, arthritis, thyroid disease, and depression. Class 4 consisted of participants without any chronic diseases. In comparing Class 1 to Class 4, age, physical activity, self-management, obesity, and presence of high cholesterol were found to be significant. In comparing Class 2 to Class 4, gender, age, and education level were significant. When Class 3 was compared to Class 4, gender, age, pain and discomfort, as well as high cholesterol were found to be significant. Diabetes and hypertension should be treated as comorbid conditions, applying integrated treatments involving effective drug treatment, diet, and physical activity programs. Atopy was found to be strongly correlated with allergies. Thyroid disease was found to coexist with dyslipidemia and arthritis, along with having a strong correlation to depression. Age-appropriate preventive measures can help reduce the risk of chronic diseases.

Prediction Model of Fatigue in Women with Rheumatoid Arthritis (여성 류마티스 관절염 환자의 피로 예측 모형)

  • Lee, Kyung-Sook;Lee, Eun-Ok
    • Journal of muscle and joint health
    • /
    • v.8 no.1
    • /
    • pp.27-50
    • /
    • 2001
  • Rheumatoid arthritis is a chronic systemic autoimmune disease. Although the joints are the major loci of the disease activity, fatigue is a common extraarticular symptom that exists in all gradations of rheumatoid arthritis. Fatigue is defined as a subjective sense of generalized tiredness or exhaustion and has multiple dimensions. Therefore fatigue is a common and frequent problem for those with rheumatoid arthritis. In fact, 88-100% of individuals with rheumatoid arthritis experience fatigue. Especially the degree of fatigue is higher in women than men with rheumatoid arthritis. Despite the importance of fatigue among the patients with rheumatoid arthritis, the mechanism that leads to fatigue in rheumatoid arthritis is not completely understood. This study was intended to test and validate a model to predict fatigue in women with rheumatoid arthritis. Especially it was intended to identify the direct and indirect effects of the variables of pain, disability, depression, sleep disturbance, morning stiffness, and symptom duration to fatigue. Data were collected by questionnaires including Multidimensional Assesment of Fatigue(Tack, 1991), numeric scale of pain, graphic scale of joints, Ritchie Articular Index, Korean Health Assessment Questionnaire(Bae, et al., 1998), Inventory of Function Status(Tulman, et al., 1991), Center for Epidemiologic Studies-Depression, and Korean Sleep Scale(Oh, et al 1998). The sample consisted of 345 women with a mean duration of rheumatoid arthritis for 10.06 years and a mean age of 49.64 years. SPSS win and Win LISREL were used for the data analysis. Structural equation modeling revealed the overall fit of the model. Pain predicted fatigue directly and indirectly through disability, depression, and sleep disturbance. Disability, sleep disturbance predicted fatigue only directly, while depression only indirectly through disability and sleep disturbance. Also morning stiffness and symptom duration predicted fatigue through disability and depression. All predictors accounted for 65% of the variance of fatigue. Depression, pain, and disability predicted sleep disturbance. Depression had reciprocal relationship with disability and they both were predicted by pain directly and indirectly. In summary, pain, depression, disability, sleep disturbance, morning stiffness, and symptom duration contributed to the fatigue of patients with rheumatoid arthritis. The best predictor of fatigue was pain. This finding indicates that the modification of pain, depression, disability, sleep disturbance, morning stiffness could be nursing intervention for relief or prevention of fatigue.

  • PDF

The Age and Sex-specific Quality of Life by Chronic Disease Using the EQ-5D Index : Based on the 2017-2019 Korea National Health and Nutrition Examination Survey (EQ-5D 지수를 활용한 만성질환별 삶의 질의 성별 및 연령에 따른 변화: 2017~2019년 국민건강영양조사 자료를 이용하여)

  • Gyung-Jun Chae;Se-Ho Park;Seung-A Song;Jun-Kyu Lee;Jong-min Hong;Jae Seok Song;Nam Jun Kim
    • Journal of agricultural medicine and community health
    • /
    • v.48 no.2
    • /
    • pp.81-90
    • /
    • 2023
  • Objectives: This study analyzed the decline in quality of life according to age in the chronic disease patient group, quantified it as a quantitative index, and compared it by sex and chronic disease. Methods: In the 2017-2019 Korea National Health and Nutrition Examination Survey database, 11,473 adults aged 19 years or older, excluding cancer patients, were analyzed for age-specific changes in the EQ-5D Index by chronic disease. The decline in quality of life according to age in patients with chronic diseases was analyzed by linear regression analysis while controlling for general characteristics. Then, linear regression analysis was performed according to sex. Results: In the case of the control group, the quality of life decreased by 0.0004 for every 1-year increase in age(P<0.001). By chronic disease, asthma(β=0.0019, P<0.001), arthritis(β=0.0017, P=0.002), thyroid dis- ease(β=0.0016, P=0.015), dyslipidemia(β=0.0011, P=0.020), and hypertension(β=0.0009, P=0.027) mostly showed a greater decrease in quality of life than the control group. In addition, when divided into two groups by sex, hypertension(β=0.0012, P=0.029), thyroid disease(β=0.0041, P=0.038), and arthritis(β=0.0022, P<0.001) showed a significant decrease in quality of life only in male. Diabetes(β=0.0056, P=0.038), dyslipi- demia(β=0.0022, P=0.001) significantly decreased quality of life only in female. Conclusions: Chronic disease had a negative impact on patients perception of quality of life, and the more severe the pain and activity limitation due to the chronic disease, the more severe it was. It also showed different patterns according to sex. Therefore, it is necessary to allocate more medical resources and provide policy support to prevent chronic diseases, which are serious social problems.

Considerations for the Dental Management of Older Adults (임상가를 위한 특집3 - 노인 환자의 치과 치료시 고려 사항)

  • Kho, Hong-Seop
    • The Journal of the Korean dental association
    • /
    • v.49 no.10
    • /
    • pp.609-617
    • /
    • 2011
  • The geriatric population is the most rapidly growing part of the general population, which leads to an increase of chronic conditions and illnesses that will influence both oral and systemic health. The most common chronic diseases in elderly population are arthritis, hypertension, heart diseases, diabetes, and cognitive impairment. Chronic impairments such as visual, hearing, orthopedic, and speech disorders are also prevalent among older adults. All these chronic conditions have potential oral complications and the treatments of systemic diseases also has implications for the maintenance of oral health. Therefore, oral health care professionals should catch up with increasing knowledge in this field and can modify the treatment strategy for older adults. In addition, oral health care professionals should understand the changing need of oral health problems in this age and prepare the future demand.

A Study on the Various Factors of Hwa-Byung -Focusing on the Residents in the Gangwon-do in 2007- (화병의 관련 요인 연구 -2007년 강원도 지역 주민 대상으로-)

  • Jung, Duk-Jin;Park, Jong Ku;Lee, Jae-Hyok
    • Journal of Oriental Neuropsychiatry
    • /
    • v.24 no.1
    • /
    • pp.75-92
    • /
    • 2013
  • Objectives : The objective of this study is to investigate various factors concerning Hwa-byung Methods : The research for various factors of Hwa-Byung was carried out for 686 female Participants. Hwa-Byung was diagnosed by Hwa-Byung Diagnostic Interview Schedule (HBDIS). Results : The rate of Past History about Chronic Bronchitis, Peptic Ulcer, Chronic Hepatitis/Hepatic Cirrhosis, Allergy, Arthritis, Hyperlipidemia is high in the Hwa-Byung group compared with the Control group. In the study of external environments, Hwa-Byung has tendency diagnosed in monthly income under 2,000,000 won, doing regular occupation, marriage, below graduation from high school. In the study of personal relationship, Hwa-Byung has tendency more influenced by negative influencing people than by positive influencing people. In the study of personal factors, Hwa-Byung has a short sleeping time, does not exercise regularly, feels more overburdened, and understimates their own condition to do easy tasks. Conclusions : According to the below results, in the study of Past History, the rate of Chronic Bronchitis, Peptic Ulcer, Chronic Hepatitis/Hepatic Cirrhosis, Allergy, Arthritis, and Hyperlipidemia is high in the Hwa-Byung group compared with the Control. Hwa-Byung has a tendency to be diagnosed by various factors such as the external environment, personal relationships, and personal factors.

Initial experience with intra-articular 188Re-tin colloid as a "radiation synovectomy" agent in various joints

  • Shinto, Ajit S;Indira, VU;Kamaleshwaran, KK;Banka, Vinay Kumar;Aswathy, KK;Thirumalaisamy, SG;Rajamani, V;Mallia, Madhav;Banerjee, Sharmila
    • Journal of Radiopharmaceuticals and Molecular Probes
    • /
    • v.1 no.2
    • /
    • pp.109-117
    • /
    • 2015
  • Radiation synovectomy has been proposed as a promising palliative therapy for recurrent joint effusions for the last two or three decades. Ionizing radiations emitted by intrarticularly administered radiolabelled colloids. The aim of this study was to assess the effectiveness of radiation synovectomy (RSV) using $^{188}Re$-tin colloid in the treatment of recurrent joint effusions and chronic synovitis of knee joints. Three phase bone scan was acquired for the concerned joint prior to radiosynovectomy. $^{188}Re$-tin colloid was prepared as per the reported protocol. 9 patients, diagnosed with rheumatoid arthritis and suffering from chronic resistant synovitis of the knee, ankle or elbow joints were administered the radiopharmaceuticals, checked for radiochemical purity >95% by intraarticular route. A whole body scan was acquired 2 h post-radiosynovectomy. In all the 9 treatments, no leakage to non-target organs was visible in the whole body scan. Static scans of the joint revealed complete retention of $^{188}Re$-tin colloid in the joints post administration of the agent. Clinically all patients exhibited a complete or partial response. RSV with $^{188}Re$-tin colloid was safe and effective in patients with chronic synovitis of rheumatoid origin.