Objective To improve the comprehensive
understanding and
treatment level of the
disease by analyzing the clinical characteristics of
rheumatoid arthritis (RA) caused by pauciarticular
arthritis.
Methods The
method was retrospective
analysis and summary of clinical and
laboratory data of 198 cases of
patients with RA,in which 98 cases of pauciarticular
arthritis belonged to the
observation group and 100 cases of polyarticular
arthritis belonged to the
control group.Results
Male patients in
observation group were obviously more than those in the
control group (t =2.456,P =0.015).
Courses of
disease was obviously shorter than those in the
control group (t =-2.450,P =0.018).The number of involved
joints was obviously less than those in the
control group (t =-6.316,P <0.001).The
incidence of morning.stiffness was significantly less than those in the
control group (t =-3.884,P < 0.001).Rating scores of
disease activity score 28 were significantly lower than those in the
control group (t =-8.694,P < 0.001).And positive rate of anti-cyslic citrullinated
peptide antibody is significantly higher than those in the
control group (t =-2.299,P =0.022).
Thyrotrophin levels were significantly higher than those in the
control group (t =3.809,P < 0.001).There was no significant differences in age,
erythrocyte sedimentation rate and
C reactive protein,
immunoglobulin and
complement level,free
triiodothyronine,free
thyroxine,
blood lipids,
blood system and
kidney involvement between the two groups (all P > 0.05).Conclusions The conclusion turns out to be that there are no typical clinical manifestations showing that rheumatoid arthrifts is caused by pauciarticular
arthritis.Maybe it is the early performance of
disease.It is worth
attention that concurrent subclinical
hypothyroidism turns out to be more.