Article: Chronische artralgie: geen voorbode van reuma, maar onderdeel van het fibromyalgiesyndroom.
Nederlands tijdschrift voor geneeskunde
1995 Volume 139, Issue 14, Page(s) 727–730
Abstract: Objective: To determine the characteristics and the course of chronic arthralgia (CA) and the differences from newly diagnosed rheumatoid arthritis (RA).: Design: Retrospective, with a follow up after 2.5 years.: Setting: Outpatient clinic for ... ...
| Title translation | Chronic arthralgia: not a precursor of rheumatoid arthritis, but part of fibromyalgia syndrome. |
|---|---|
| Abstract | Objective: To determine the characteristics and the course of chronic arthralgia (CA) and the differences from newly diagnosed rheumatoid arthritis (RA). Design: Retrospective, with a follow up after 2.5 years. Setting: Outpatient clinic for rheumatology of the St. Antonius Hospital, Nieuwegein, The Netherlands. Method: The diagnosis of CA was made in the period of June 1986-December 1988 in 74 patients. The CA patients were sent a questionnaire after a mean of 2.5 years and invited for another rheumatological examination; 62 patients responded (84%). Data were compared with all 52 RA patients newly diagnosed in the same period by the same specialist. Results: At the first visit CA had been present for 1 year, RA patients had had complaints for 0.6 years (p = 0.02). The RA patients had elevated BSE rates more often (31 vs. 8 mm in CA) (p < 0.0001) and more serious morning stiffness (75 vs. 0 minutes in CA) (p < 0.0001). The diagnosis of RA was made at the first visit in 86% and in 96% within half a year later. None of the CA patients developed an inflammatory joint disease within 2.5 years. In 1 out of 3 CA patients the diagnosis of fibromyalgia was made and more than 50% had complaints. Conclusions: CA for more than 3 years does not predict inflammatory rheumatic disease. In contrast, RA develops in a short period and the diagnosis is made in 96% within 1 year. CA can be considered a feature of the fibromyalgia syndrome. |
| MeSH term(s) | Adolescent ; Adult ; Aged ; Aged, 80 and over ; Arthralgia/diagnosis ; Arthralgia/etiology ; Arthritis, Rheumatoid/complications ; Arthritis, Rheumatoid/diagnosis ; Chronic Disease ; Diagnosis, Differential ; Female ; Fibromyalgia/complications ; Fibromyalgia/diagnosis ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Time Factors |
| Language | Dutch |
| Publishing date | 1995-04-08 |
| Publishing country | Netherlands |
| Document type | English Abstract ; Journal Article |
| ZDB-ID | 82073-8 |
| ISSN | 1876-8784 ; 0028-2162 |
| ISSN (online) | 1876-8784 |
| ISSN | 0028-2162 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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