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Joint Bone Spine
Volume 71, n° 4
pages 300-302 (juillet 2004)
Doi : 10.1016/S1297-319X(03)00118-0
Received : 21 January 2003 ;  accepted : 20 May 2003
Is inflammatory joint disease in HIV-infected patients a form of spondyloarthropathy?

Honoré  Ntsiba * ,  N.  Lamini
Rheumatology Department, Brazzaville Teaching Hospital, CHU de Brazzaville, B.P. 32, Brazzaville, Congo 

*Corresponding author.

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.

© 2003  Elsevier SAS. All Rights Reserved.

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