Clinical image: Mutilans-type rheumatoid arthritis

"Mutilans-type" Jaccoud Arthropathy.

Rheumatoid arthritis and osteoporosis

Rheumatoid arthritis and osteoporosis

Arthritis mutilans in a patient with juvenile idiopathic arthritis.

A 60-year-old woman had been diagnosed with juvenile idiopathic arthritis at 14 years of age and treated with multiple disease-modifying antirheumatic drugs without any proven efficacy. She subsequently underwent bilateral total hip and knee arthroplasty in her forties, and treatment with infliximab and etanercept had been discontinued due to the onset of pneumocystis pneumonia and bacterial pn...

Non-constrained elbow arthroplasty for mutilans deformity in rheumatoid arthritis: a report of six cases.

Six highly unstable elbows with severe bone loss due to rheumatoid arthritis were replaced by a non-constrained, unlinked prosthesis. Bone defects were filled with autogenous bone grafts. The mean follow-up was 4.5 years (2 to 8). The clinical results were excellent in four elbows and good in two, with good varus-valgus stability in all. Radiological follow-up showed no appreciable signs of loo...

Clinical diagnosis of rheumatoid arthritis.

Rheumatoid arthritis is a common disease that is now known to progress to irreversible erosive changes in the joints much more quickly than previously recognized. Physicians thus need to identify the early symptoms and signs to make a prompt clinical diagnosis and then start earlier aggressive treatment. Critical features are morning stiffness and symmetrical inflammation involving usually smal...