Fibromyalgia complicating disease management in rheumatoid arthritis.
نویسندگان
چکیده
OBJECTIVE To evaluate frequency of fibromyalgia in rheumatoid arthritis and its effect on disease activity score. STUDY DESIGN Cross-sectional study. PLACE AND DURATION OF STUDY The Indus Hospital, Karachi, from December 2010 to May 2011. METHODOLOGY All adult patients of either gender diagnosed as rheumatoid arthritis on the basis of clinical, laboratory and X-ray criteria were included in the study. The sample data was separated into two groups depending on presence or absence of fibromyalgia and 28 joint disease activity score (DAS-28) value was evaluated. RESULTS There were 31 (25.83%) patients with rheumatoid arthritis and fibromyalgia (RAFM) out of the total 120. The median (IQR) age of patients was 40 (32 - 51) years. All were females. The overall female frequency was 79 (88.8%). The median (IQR) DAS-28 score in RA group was 4.9 (3.66 - 5.71), while the median (IQR) DAS-28 score in RAFM was 7.04 (6.62 - 7.64) [p < 0.0001]. The number of patient getting combination therapy of DMARD in RAFM group was 61.3% while in RA group was 42.7%. CONCLUSION DAS-28 was found to be significantly higher in RAFM patients probably because of higher perception of pain.
منابع مشابه
Epidemiology of Autoimmune Disorders with Special Reference to Rheumatoid Arthritis from a Tertiary Care Center
Background: Autoimmune disorders (AID) are emerging non-communicable diseases and understanding their epidemiology could reveal information about their clinical characteristics and disease management. Objective: To record the different types of arthritis cases attending a tertiary care center and study the profile of rheumatoid arthritis cases. Methods: The different types of arthritis cases re...
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tender points in patients with fibromyalgia syndrome (FMS) with therapeutic infrared laser ray [abstract]. Arthritis Rheum 1997; 40:S44. 22. Rao S, Bennet R. Pharmacological therapies in fibromyalgia. Best Pract Res Rheumatol 2003;17:611–27. 23. American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines. Guidelines for the management of rheumatoid arthritis. Arthritis Rheu...
متن کاملDisease activity score in rheumatoid arthritis with or without secondary fibromyalgia.
OBJECTIVE To correlate disease activity score (DAS-28) in the patients with rheumatoid arthritis (RA) with and without secondary fibromyalgia. STUDY DESIGN Comparative cross-sectional study. PLACE AND DURATION OF STUDY Department of Rheumatology, Pakistan Institute of Medical Sciences, Islamabad, from November 2011 to April 2012. METHODOLOGY Patients aged above 16 years diagnosed to have ...
متن کامل[Cognition and perception deficits in fibromyalgia and rheumatoid arthritis].
INTRODUCTION Cognitive disturbance in patients with fibromyalgia and rheumatoid arthritis is today a topic of a great clinical interest, largely due to the fact that these persons often complain about cognitive problems. OBJECTIVE This study is aimed to assess the visuospatial memory, attention and perceptive capacities in chronic pain patients. MATERIAL AND METHODS Groups were constituted ...
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ورودعنوان ژورنال:
- Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
دوره 24 6 شماره
صفحات -
تاریخ انتشار 2014