Hand involvement in Behçet’s disease
To study the clinical hand findings in Behçet's disease (BD) and to observe scintigraphic changes of these areas. Fifty-seven randomly selected BD patients and the patients in the control group (N=40) were evaluated by two blind rheumatologists. The hands were examined for the presence of pain,...
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| Veröffentlicht in: | Joint, bone, spine : revue du rhumatisme bone, spine : revue du rhumatisme, 2006-12, Vol.73 (6), p.679-683 |
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| container_title | Joint, bone, spine : revue du rhumatisme |
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| creator | Yurtkuran, Merih Yurtkuran, Mustafa Alp, Alev Sivrioglu, Koncuy Dilek, Kamil Tamgaç, Feyzi Alper, Eray Tunalı, Şükran Sarıcaoğlu, Hayriye Nasırcılar, Aşkın |
| description | To study the clinical hand findings in Behçet's disease (BD) and to observe scintigraphic changes of these areas.
Fifty-seven randomly selected BD patients and the patients in the control group (N=40) were evaluated by two blind rheumatologists. The hands were examined for the presence of pain, tenderness, swelling, effusion, erythema, warmth, range of motion and limitation of motion, deformities and muscle atrophy. Then scintigraphic examination of the hands was performed. Control hand scintigrams were obtained from 40 age- and sex-matched patients and were examined by the same two observers.
Thirty-two of the 57 patients (56.1%) showed Behçet's clinical hand findings. Terminal phalangeal pulp atrophy was observed in 17 (29.81%), rheumatoid-like hand findings were observed in 16 (28.1%), dorsal interosseos atrophy was observed in 12 (20.05%) and erythema over the digits was observed in 12 (20.05%). Twenty-four patients (42.1%) had scintigraphic involvement. The disease duration was observed to be an important factor for hand findings (P=0.040) and scintigraphic involvement (P=0.011).
High prevalence of hand involvement in BD and its relationship with disease duration is demonstrated. Hand involvement tends to be overlooked and careful examination is required in the evaluation of BD. The scintigraphic involvement detected in hands requires special consideration, too. |
| doi_str_mv | 10.1016/j.jbspin.2005.11.008 |
| format | Article |
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Fifty-seven randomly selected BD patients and the patients in the control group (N=40) were evaluated by two blind rheumatologists. The hands were examined for the presence of pain, tenderness, swelling, effusion, erythema, warmth, range of motion and limitation of motion, deformities and muscle atrophy. Then scintigraphic examination of the hands was performed. Control hand scintigrams were obtained from 40 age- and sex-matched patients and were examined by the same two observers.
Thirty-two of the 57 patients (56.1%) showed Behçet's clinical hand findings. Terminal phalangeal pulp atrophy was observed in 17 (29.81%), rheumatoid-like hand findings were observed in 16 (28.1%), dorsal interosseos atrophy was observed in 12 (20.05%) and erythema over the digits was observed in 12 (20.05%). Twenty-four patients (42.1%) had scintigraphic involvement. The disease duration was observed to be an important factor for hand findings (P=0.040) and scintigraphic involvement (P=0.011).
High prevalence of hand involvement in BD and its relationship with disease duration is demonstrated. Hand involvement tends to be overlooked and careful examination is required in the evaluation of BD. The scintigraphic involvement detected in hands requires special consideration, too.</description><identifier>ISSN: 1297-319X</identifier><identifier>EISSN: 1778-7254</identifier><identifier>DOI: 10.1016/j.jbspin.2005.11.008</identifier><identifier>PMID: 16626999</identifier><language>eng</language><publisher>France: Elsevier SAS</publisher><subject>Adolescent ; Adult ; Arthralgia - diagnostic imaging ; Arthralgia - pathology ; Atrophy ; Behcet Syndrome - complications ; Behcet Syndrome - diagnostic imaging ; Behcet Syndrome - epidemiology ; Behçet's disease ; Edema - diagnostic imaging ; Edema - pathology ; Erythema - diagnostic imaging ; Erythema - pathology ; Female ; Finger Joint - diagnostic imaging ; Finger Joint - pathology ; Follow-Up Studies ; Hand ; Hand Deformities, Acquired - diagnostic imaging ; Hand Deformities, Acquired - epidemiology ; Hand Deformities, Acquired - etiology ; Humans ; Male ; Middle Aged ; Observer Variation ; Prevalence ; Radionuclide Imaging - methods ; Radionuclide Imaging - statistics & numerical data ; Radiopharmaceuticals ; Scintigraphy ; Severity of Illness Index ; Technetium Tc 99m Medronate</subject><ispartof>Joint, bone, spine : revue du rhumatisme, 2006-12, Vol.73 (6), p.679-683</ispartof><rights>2006 Elsevier Masson SAS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-f0ea945c0092c2f23b28d6e253b8e8f69669843174e226e1a808e7c1d1697d513</citedby><cites>FETCH-LOGICAL-c360t-f0ea945c0092c2f23b28d6e253b8e8f69669843174e226e1a808e7c1d1697d513</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1297319X0600042X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16626999$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yurtkuran, Merih</creatorcontrib><creatorcontrib>Yurtkuran, Mustafa</creatorcontrib><creatorcontrib>Alp, Alev</creatorcontrib><creatorcontrib>Sivrioglu, Koncuy</creatorcontrib><creatorcontrib>Dilek, Kamil</creatorcontrib><creatorcontrib>Tamgaç, Feyzi</creatorcontrib><creatorcontrib>Alper, Eray</creatorcontrib><creatorcontrib>Tunalı, Şükran</creatorcontrib><creatorcontrib>Sarıcaoğlu, Hayriye</creatorcontrib><creatorcontrib>Nasırcılar, Aşkın</creatorcontrib><title>Hand involvement in Behçet’s disease</title><title>Joint, bone, spine : revue du rhumatisme</title><addtitle>Joint Bone Spine</addtitle><description>To study the clinical hand findings in Behçet's disease (BD) and to observe scintigraphic changes of these areas.
Fifty-seven randomly selected BD patients and the patients in the control group (N=40) were evaluated by two blind rheumatologists. The hands were examined for the presence of pain, tenderness, swelling, effusion, erythema, warmth, range of motion and limitation of motion, deformities and muscle atrophy. Then scintigraphic examination of the hands was performed. Control hand scintigrams were obtained from 40 age- and sex-matched patients and were examined by the same two observers.
Thirty-two of the 57 patients (56.1%) showed Behçet's clinical hand findings. Terminal phalangeal pulp atrophy was observed in 17 (29.81%), rheumatoid-like hand findings were observed in 16 (28.1%), dorsal interosseos atrophy was observed in 12 (20.05%) and erythema over the digits was observed in 12 (20.05%). Twenty-four patients (42.1%) had scintigraphic involvement. The disease duration was observed to be an important factor for hand findings (P=0.040) and scintigraphic involvement (P=0.011).
High prevalence of hand involvement in BD and its relationship with disease duration is demonstrated. Hand involvement tends to be overlooked and careful examination is required in the evaluation of BD. The scintigraphic involvement detected in hands requires special consideration, too.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arthralgia - diagnostic imaging</subject><subject>Arthralgia - pathology</subject><subject>Atrophy</subject><subject>Behcet Syndrome - complications</subject><subject>Behcet Syndrome - diagnostic imaging</subject><subject>Behcet Syndrome - epidemiology</subject><subject>Behçet's disease</subject><subject>Edema - diagnostic imaging</subject><subject>Edema - pathology</subject><subject>Erythema - diagnostic imaging</subject><subject>Erythema - pathology</subject><subject>Female</subject><subject>Finger Joint - diagnostic imaging</subject><subject>Finger Joint - pathology</subject><subject>Follow-Up Studies</subject><subject>Hand</subject><subject>Hand Deformities, Acquired - diagnostic imaging</subject><subject>Hand Deformities, Acquired - epidemiology</subject><subject>Hand Deformities, Acquired - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><subject>Prevalence</subject><subject>Radionuclide Imaging - methods</subject><subject>Radionuclide Imaging - statistics & numerical data</subject><subject>Radiopharmaceuticals</subject><subject>Scintigraphy</subject><subject>Severity of Illness Index</subject><subject>Technetium Tc 99m Medronate</subject><issn>1297-319X</issn><issn>1778-7254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1OwzAQhS0EoqVwA4S6QmwSPE7i2BskqIAiVWIDEjsrsSfCUX5KnFZixzXYseMecBNOgqtUYsdq3uK9NzMfIcdAQ6DAz8uwzN3SNiGjNAkBQkrFDhlDmoogZUm86zWTaRCBfBqRA-dKSmnEEr5PRsA541LKMTmbZ42Z2mbdVmussem9_vq4wufvT-x_3t7d1FiHmcNDsldklcOj7ZyQx5vrh9k8WNzf3s0uF4GOOO2DgmIm40RTKplmBYtyJgxHlkS5QFFwybkUcQRpjIxxhExQgakGA1ymJoFoQk6H3mXXvqzQ9aq2TmNVZQ22K6e48JeDTLwxHoy6a53rsFDLztZZ96qAqg0hVaqBkNoQUgDKE_Kxk23_Kq_R_IW2SLzhYjCg_3JtsVNOW2w0Gtuh7pVp7f8bfgFROnmU</recordid><startdate>200612</startdate><enddate>200612</enddate><creator>Yurtkuran, Merih</creator><creator>Yurtkuran, Mustafa</creator><creator>Alp, Alev</creator><creator>Sivrioglu, Koncuy</creator><creator>Dilek, Kamil</creator><creator>Tamgaç, Feyzi</creator><creator>Alper, Eray</creator><creator>Tunalı, Şükran</creator><creator>Sarıcaoğlu, Hayriye</creator><creator>Nasırcılar, Aşkın</creator><general>Elsevier SAS</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200612</creationdate><title>Hand involvement in Behçet’s disease</title><author>Yurtkuran, Merih ; Yurtkuran, Mustafa ; Alp, Alev ; Sivrioglu, Koncuy ; Dilek, Kamil ; Tamgaç, Feyzi ; Alper, Eray ; Tunalı, Şükran ; Sarıcaoğlu, Hayriye ; Nasırcılar, Aşkın</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-f0ea945c0092c2f23b28d6e253b8e8f69669843174e226e1a808e7c1d1697d513</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arthralgia - diagnostic imaging</topic><topic>Arthralgia - pathology</topic><topic>Atrophy</topic><topic>Behcet Syndrome - complications</topic><topic>Behcet Syndrome - diagnostic imaging</topic><topic>Behcet Syndrome - epidemiology</topic><topic>Behçet's disease</topic><topic>Edema - diagnostic imaging</topic><topic>Edema - pathology</topic><topic>Erythema - diagnostic imaging</topic><topic>Erythema - pathology</topic><topic>Female</topic><topic>Finger Joint - diagnostic imaging</topic><topic>Finger Joint - pathology</topic><topic>Follow-Up Studies</topic><topic>Hand</topic><topic>Hand Deformities, Acquired - diagnostic imaging</topic><topic>Hand Deformities, Acquired - epidemiology</topic><topic>Hand Deformities, Acquired - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observer Variation</topic><topic>Prevalence</topic><topic>Radionuclide Imaging - methods</topic><topic>Radionuclide Imaging - statistics & numerical data</topic><topic>Radiopharmaceuticals</topic><topic>Scintigraphy</topic><topic>Severity of Illness Index</topic><topic>Technetium Tc 99m Medronate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yurtkuran, Merih</creatorcontrib><creatorcontrib>Yurtkuran, Mustafa</creatorcontrib><creatorcontrib>Alp, Alev</creatorcontrib><creatorcontrib>Sivrioglu, Koncuy</creatorcontrib><creatorcontrib>Dilek, Kamil</creatorcontrib><creatorcontrib>Tamgaç, Feyzi</creatorcontrib><creatorcontrib>Alper, Eray</creatorcontrib><creatorcontrib>Tunalı, Şükran</creatorcontrib><creatorcontrib>Sarıcaoğlu, Hayriye</creatorcontrib><creatorcontrib>Nasırcılar, Aşkın</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Joint, bone, spine : revue du rhumatisme</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yurtkuran, Merih</au><au>Yurtkuran, Mustafa</au><au>Alp, Alev</au><au>Sivrioglu, Koncuy</au><au>Dilek, Kamil</au><au>Tamgaç, Feyzi</au><au>Alper, Eray</au><au>Tunalı, Şükran</au><au>Sarıcaoğlu, Hayriye</au><au>Nasırcılar, Aşkın</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hand involvement in Behçet’s disease</atitle><jtitle>Joint, bone, spine : revue du rhumatisme</jtitle><addtitle>Joint Bone Spine</addtitle><date>2006-12</date><risdate>2006</risdate><volume>73</volume><issue>6</issue><spage>679</spage><epage>683</epage><pages>679-683</pages><issn>1297-319X</issn><eissn>1778-7254</eissn><abstract>To study the clinical hand findings in Behçet's disease (BD) and to observe scintigraphic changes of these areas.
Fifty-seven randomly selected BD patients and the patients in the control group (N=40) were evaluated by two blind rheumatologists. The hands were examined for the presence of pain, tenderness, swelling, effusion, erythema, warmth, range of motion and limitation of motion, deformities and muscle atrophy. Then scintigraphic examination of the hands was performed. Control hand scintigrams were obtained from 40 age- and sex-matched patients and were examined by the same two observers.
Thirty-two of the 57 patients (56.1%) showed Behçet's clinical hand findings. Terminal phalangeal pulp atrophy was observed in 17 (29.81%), rheumatoid-like hand findings were observed in 16 (28.1%), dorsal interosseos atrophy was observed in 12 (20.05%) and erythema over the digits was observed in 12 (20.05%). Twenty-four patients (42.1%) had scintigraphic involvement. The disease duration was observed to be an important factor for hand findings (P=0.040) and scintigraphic involvement (P=0.011).
High prevalence of hand involvement in BD and its relationship with disease duration is demonstrated. Hand involvement tends to be overlooked and careful examination is required in the evaluation of BD. The scintigraphic involvement detected in hands requires special consideration, too.</abstract><cop>France</cop><pub>Elsevier SAS</pub><pmid>16626999</pmid><doi>10.1016/j.jbspin.2005.11.008</doi><tpages>5</tpages></addata></record> |
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| ispartof | Joint, bone, spine : revue du rhumatisme, 2006-12, Vol.73 (6), p.679-683 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Arthralgia - diagnostic imaging Arthralgia - pathology Atrophy Behcet Syndrome - complications Behcet Syndrome - diagnostic imaging Behcet Syndrome - epidemiology Behçet's disease Edema - diagnostic imaging Edema - pathology Erythema - diagnostic imaging Erythema - pathology Female Finger Joint - diagnostic imaging Finger Joint - pathology Follow-Up Studies Hand Hand Deformities, Acquired - diagnostic imaging Hand Deformities, Acquired - epidemiology Hand Deformities, Acquired - etiology Humans Male Middle Aged Observer Variation Prevalence Radionuclide Imaging - methods Radionuclide Imaging - statistics & numerical data Radiopharmaceuticals Scintigraphy Severity of Illness Index Technetium Tc 99m Medronate |
| title | Hand involvement in Behçet’s disease |
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