Is inflammatory joint disease in HIV-infected patients a form of spondyloarthropathy? - 01/01/03
Honoré Ntsiba * , N. Lamini*Corresponding author.
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Résumé |
In Congo-Brazzaville, the seroprevalence of HIV infection is in the range 7-8%, and AIDS is the leading cause of aseptic arthritis (60% of cases).
Patients, material and methods. - The ESSG and Amor's criteria for spondyloarthropathy were evaluated in 83 patients with HIV infection admitted for aseptic arthritis to the rheumatology department of the Brazzaville teaching hospital, over an 8-year period.
Results. - All 83 patients were CDC stage IV; 66 (80%) had polyarthritis and 17 (20%) oligoarthritis. A single patient met ESSG and Amor's criteria, with six points; one patient had five points and 15 had three points. The joint involvement was asymmetrical and nonerosive. Nonsteroidal antiinflammatory therapy ensured resolution of the manifestations within 4-8 weeks. The most common sites of involvement were the knees (84%), ankles (59%), and great toes (23%) at the lower limbs and the wrists (41%), elbows (29%), and metacarpophalangeal and interphalangeal joints (25%) at the upper limbs.
Conclusion. - Inflammatory arthritis in HIV patients does not meet ESSG or Amor's criteria for spondyloarthropathy.
Mots clés : Spondyloarthropathy ; HIV ; Arthritis ; Congo-Brazzaville.
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Vol 71 - N° 4
P. 300-302 - juillet 2004 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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