Study etiology and clinical features of mono-articular arthritis in rural patients
Journal Title: Medpulse International Journal of Medicine - Year 2017, Vol 3, Issue 1
Abstract
Background: Many musculoskeletal disorders resemble each other and some may take weeks or months to evolve into a readily recognizable diagnostic entity. It is important to understand the prevalence of each potential diagnosis and to use an organized and evidence-based clinical approach. Here, in this study we have made an effort to explore specific diagnosis to the most common causes of mono-arthritis identified in rural patients of India (Maharashtra). Materials and Methods: This is anobservational and descriptive study conducted at SRTR Government Medical College, Ambajogai. Patients with acute or chronic mono-articular arthritis presenting for the first time in OPD or those who were admitted in medical units were selected. Total 50 patients above the age of 12 yrs were enrolled in the study. Post traumatic and soft tissue rheumatism mono-articular arthritis cases were excluded from the study. Results: Total 50 cases of new onset mono-articular arthritis were enrolled for study purpose. Mono-articular arthritis was common in males with male to female ratio of 1.5:1.Most commonly affected age group was 22-55 years with 56% of the patients in age group 22 to 55 years and mean age at the onset of symptoms was 35 years. Incidence of acute and chronic mono-articular arthritis was 48% and 52%% respectively with chronic being common than acute. Irrespective of the etiology of arthritis, knee joint was most commonly involved in mono-articular arthritis. Inflammatory arthritis was most common type of mono-articular arthritis comprising 44% cases along with 30% cases of infectious and 8% cases of non-inflammatory type of mono-articular arthritis. Conclusions: Idiopathic arthritis is common diagnosis in patients presenting for first time withmono-articular arthritis. Joint tuberculosis is most common cause of mono-articular arthritis followed by gout, seronegative spondyloarthropathy, rheumatoid arthritis, septic arthritis, osteoarthritis.
Authors and Affiliations
Maroti Karale, Kailas Chintale, Bhanudas Karale, Paresh Patil
Keywords
Related Articles
- EP ID EP482037
- DOI 10.26611/1021316
- Views 57
- Downloads 0
A comparative study of glycemic control of continuous insulin infusion versus single dose sub cutaneous insulin glargine injection in the patients admitted to ICU
Background: Diabetes is increasing at an alarming rate affecting more than 371 million people worldwide. Recent estimates report a 5 million increase in prevalence from 2011 to 2012, with many more undiagnosed. Aims and...
A study of utility of mantoux test in the suspected cases of tuberculosis at a tertiary health care center
Background: Tuberculosis (TB) in India accounts for the one-fourth of the global cases, adding almost 2.8 million cases annually. Aims: 1) To study the prevalence of tuberculin sensitivity among suspected tuberculosis pa...
The prevalence of persistent QTC prolongation in type 2 diabetes mellites
Background: Prolonged QTc interval in type 2 diabetes mellitus is associated with significant cardiovascular mortality. The prevalence of QTc prolongation in type 2 Diabetes mellitus is 24%. Methods: Cross – sectional pr...
Evaluation of an association between type II diabetes mellitus and sensorineural hearing impairment in population<60 years age at tertiary care hospital
Background: Connection between type 2 Diabetes Mellitus with sensorineural hearing loss (SNHL) has been studied. Microangiopathy with neuronal degeneration are important factor. Aims and Objectives: To find out associati...
A study of the clinical profile and factors associated with guillianbarre syndrome at a tertiary care teaching hospital
Background: Guillian–Barre syndrome (GBS), also known as Landry's paralysis1, is an immune-mediated disorder of nervous system, of acute or subacute onset characterized commonly by generalized progressive weakness of low...