1. Hand involvement in Behcet's disease
- Author
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Merih Yurtkuran, Kamil Dilek, Hayriye Sarıcaoğlu, Feyzi Tamgac, Alev Alp, Şükran Tunali, Aşkın Nasırcılar, Eray Alper, Koncuy Sivrioglu, Mustafa Yurtkuran, Uludağ Üniversitesi/Atatürk Rehabilitasyon Merkezi/Romatoloji Anabilim Dalı., Uludağ Üniversitesi/Tıp Fakültesi/Dahiliye Anabilim Dalı/Nefroloji Anabilim Dalı., Uludağ Üniversitesi/Tıp Fakültesi/Fizik Tedavi ve Rehabilitasyon Anabilim Dalı., Uludağ Üniversitesi/Tıp Fakültesi/Nükleer Tıp Anabilim Dalı., Uludağ Üniversitesi/Tıp Fakültesi/Dermatoloji Anabilim Dalı., Yurtkuran, Merih, Yurtkuran, Mustafa, Alp, Alev, Sivrioğlu, Koncuy, Dilek, Kamil, Tamgac, Feyzi, Alper, Eray, Tunalı, Şükran, Sarıcaoğlu, Hayriye, Nasırcılar, Aşkın, AAG-8211-2021, ABG-2019-2020, and AAG-8193-2021
- Subjects
Male ,Erythema ,Radionuclide imaging ,Behcet's disease ,Technetium Tc 99m Medronate ,Scintigraphy ,Gene ,Prevalence ,Pathology ,Medicine ,Edema ,Middle aged ,Effusion ,Hand deformities, acquired ,Range of motion ,High prevalence ,medicine.diagnostic_test ,Behçet's disease ,Behcet Syndrome ,Statistics ,Hand malformation ,Technetium ,Arthralgia ,Muscle atrophy ,Hospitalization ,Female ,medicine.symptom ,Human ,Adult ,medicine.medical_specialty ,Adolescent ,Pain assessment ,Follow-up studies ,Major clinical study ,Severity ,Article ,Atrophy ,Rheumatology ,Finger ,Humans ,Phalanx ,Scintiscanning ,Swelling ,Disease duration ,Uveitis ,Infliximab ,business.industry ,Arthritis ,Methodology ,Follow up ,medicine.disease ,Hand ,Dermatology ,Surgery ,Diagnostic agent ,Finger joint ,Severity of illness index ,Observer variation ,Hand disease ,Rheumatic disease ,Comparative study ,Radiopharmaceuticals ,business ,Behcet disease ,Controlled study - Abstract
Aims To study the clinical hand findings in Behcet's disease (BD) and to observe scintigraphic changes of these areas. Methods 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. Results Thirty-two of the 57 patients (56.1%) showed Behcet'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). Conclusion 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.
- Published
- 2006