RESUMO
Recently, different rheumatic manifestations have been reported in association with myelodysplastic syndromes (MDS). The objective of the present report was to know the prevalence and characteristics of joint inflammatory manifestations associated with MDS in our environment. Three cases were found in the review of 55 patients with MDS diagnosed in our institution in the last three years. The three patients had chronic non-erosive polyarthritis, with a poor response to non-steroidal anti-inflammatory drugs and required intermediate doses of glucocorticoids for its control. The arthritis was present in two patients at blood disease diagnosis. The prevalence of arthritis associated with MDS in our series was 5.4% (95% CI: 1.1% to 15.1%). Articular symptoms may be present before the hematological diagnosis; therefore, MDS must be considered in the differential diagnosis of late onset polyarthritis, particularly when associated with cytopenia. Glucocorticoid therapy at intermediate doses is usually required to control the articular symptoms.
Assuntos
Artrite/etiologia , Síndromes Mielodisplásicas/complicações , Idoso , Feminino , Humanos , Masculino , Estudos RetrospectivosRESUMO
Transient osteoporosis of the hip (TOH) is an uncommon condition with a poorly defined aetiology. Despite its benign prognosis, its long clinical course causes a prolonged period of functional disability in middle-aged patients. We describe two patients with TOH who showed a rapid response to deflazacort, a bone-sparing corticoid. Deflazacort may become a useful tool to shorten the otherwise lengthy recovery period of TOH.
