RESUMEN
Chikungunya is an arboviral disease transmitted by Aedes mosquitoes. The disease typically consists of an acute illness characterised by fever, rash, and incapacitating arthralgia, that can persist for months. Chikungunya virus, a member of the genus Alphavirus, has recently caused a large outbreak on islands in the Indian Ocean and on the Indian subcontinent. The ongoing outbreak has involved more than 1.5 million patients, including travellers who have visited these areas. We describe our casistic of six travellers with Chikungunya arthropathy. All patients experienced fever and rash of short term during a travel in areas of epidemicity. All patients had peripheral poliarthralgias, which duration was >2 months in 4 cases (66%) and >6 months in 1 case (16%).
Asunto(s)
Infecciones por Alphavirus , Artritis/virología , Virus Chikungunya , Adulto , Infecciones por Alphavirus/diagnóstico , Artritis/diagnóstico , Femenino , Humanos , Masculino , ViajeRESUMEN
The frequency and type of involvement of the sacroiliac joints in rheumatoid arthritis (RA) is a controversial issue. In this study we compared sacroiliac plain radiographs of 120 RA patients and 106 age and sex-matched primary osteoarthritis (OA) patients. Nobody had a history of low back pain. On the basis of the radiologist's report, sacroiliac alterations were found in 24 (20.0%) RA patients (subchondral sclerosis in 20, joint space narrowing in 2, bone erosions in 1 and bone ankylosis in 1) and in 13 (12.3%) OA patients (subchondral sclerosis in all). Neither the frequency nor the radiographic pattern of alterations were significantly different between the two groups. We conclude that radiographic changes of the sacroiliac joints in RA are mostly of degenerative nature not differing from those found in a OA control population.
Asunto(s)
Artritis Reumatoide/diagnóstico por imagen , Artritis Reumatoide/epidemiología , Articulación Sacroiliaca/diagnóstico por imagen , Adulto , Distribución por Edad , Anciano , Distribución de Chi-Cuadrado , Femenino , Humanos , Italia/epidemiología , Masculino , Persona de Mediana Edad , Osteoartritis/diagnóstico por imagen , Osteoartritis/epidemiología , Radiografía , Estudios Retrospectivos , Distribución por SexoRESUMEN
We describe a case of a 59-year-old white woman, that first developed a myasthenia gravis picture, then palindromic rheumatism and, in the end, systemic lupus erythematosus. We have searched in the literature the common features and the differences between myasthenia gravis and systemic lupus erythematosus. In this report we emphasize the possible connection between palindromic rheumatism and autoimmune diseases.