CzMA JEP Home page CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ
Journals - Article
CzMA JEP Home page News About Assocation Publishing Division Medical Journals Searching Supplements Catalogue
 
  Česky / Czech version Čes. Revmatol., 10, 2002, No. 2, p. 82-87
 
Characteristics of Patients with Reactive Arthritis from the National Register of Rheumatic Diseases 
Dejmková H.1 ,Johanedisová J.2 ,Vítek P.3 ,Galatíková D.4 ,Petrová D.5 , Vítová J.6 ,Lád V.7 ,Minxová L.8 ,Bačkovská M.9 ,Brejchová J.10 ,Fojtík Z.11 , Holotíková A.12 ,Němec V.13 ,Novotný V.14 ,Záhora R.15 ,Stanovská Z.16 ,Zvárová J.17 

1 Revmatologický ústav,Praha,2 Revmatologická ambulance,Děčín,3 Centrum rehabilitace,Zlín,4 Nemocnice – revmatologická ambulance,Bruntál,5 Revmatologická ambulance,Znojmo,6 Nemocnice –interní oddělení, České Budějovice,7 FN –dětská klinika,Plzeň,8 FN – dětská klinika,,Hradec Králové,9 Okresní nemocnice – revmatologická ambulance,Nové Město na Moravě 10 Nemocnice –dětská klinika,České Budějovice, 11 FN – III..interní hematoonkologická klinika,Brno-Bohunice,12 Poliklinika,Žďár nad Sázavou,13 Nemocnice –dětská klinika,Pardubice,14 Revmatologická ambulance,Cheb,15 Městská nemocnice – revmatologická ambulance,Litoměřice,16,17 EuroMISE Centrum UK a AV ČR
 


Summary:

       Introduction .The paper contains information on a group of patients with reactive arthritis which is one of the subgroups in the National register of rheumatic diseases.Objectives .1.Analysis of demographic data,clinical picture and treatment of patients.2.Analysis of relations between the type of triggering infection and these parameters,sex,clinical picture,presence of HLA-B27 antigen and therapy.3.Evaluation whether therapy of patients in the investigated group is consistent with recommendations in the literature.Methods .62 patients were included who met the criteria for reactive arthritis suggested at the 3rd international session on reactive arthritis in Berlin in 1995. In the recording in the register participated several rheumatologists from different Czech and Moravian regions.The enlistment took place from 1999 to 2001 incl.The assembled demographic data,data on the clinical picture,therapy and the presence of HLA-B27 were evaluated by statistical methods.Furthermore relations between the triggering infections and the investigated parameters (sex,clinical picture,the presence of HLA-B27 antigen and therapy)were evaluated by statistical methods.For statistical evaluation programme Statistica and MS Excel were used.Nominal varia- bles and differences between groups were evaluated by means of contingency tables and the χ 2 test or Fisher ’s exact test.Results .The authors did not find in the group a statistically significant difference in the incidence of urogenital reactive arthritis in relation to sex.A statistically signifi- cant difference was found between the incidence of postenteric reactive arthritis between sexes with a predominance of men (78.6 %).In the investigated group no difference was found in the clinical picture in relation to the triggering infection.The presence of HLA-B27 antigen did not differ significantly in relation to the causal infection and treatment did not differ significantly in relation to the triggering infection.Comparison of treatment of the investigated group with recommendations in the literature revealed certain deviations from procedures recommended in the literature.The patients were treated with antibiotics even in case of postenteric reactive arthritis (35.7 %)which is not consistent with recommendations in the literature.The majority of patients was treated with sulfasalazine (74.2 %).Conclusion .Sulfasalazine treatment should be used only in a protracted course of reactive arthritis,therefore the authors assume that the importance of sulfasalazine treatment in the described group was overestimated.

        Key words: reactive arthritis,demographic data,clinical picture,therapy
       

Order this issue

  BACK TO CONTENTS  
 
 
| HOME PAGE | CODE PAGE | CZECH VERSION |
©  1998 - 2008 CZECH MEDICAL ASSOCIATION J. E. PURKYNĚ
Created by: NT Servis, s.r.o., hosted by P.E.S. consulting, s.r.o.
WEBMASTER