L'arthrose érosive des doigts [Erosive hand osteoarthritis].

Details

Serval ID
serval:BIB_B5C034C195AF
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
L'arthrose érosive des doigts [Erosive hand osteoarthritis].
Journal
Revue Médicale Suisse
Author(s)
Van Linthoudt D., Gabay C., So A.K.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
2013
Volume
9
Number
377
Pages
569-575
Language
french
Notes
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Abstract
Erosive hand osteoarthritis is common and debilitating. Diagnosis is based on the presence of bone erosions which can appear late. Ultrasonography allows earlier diagnosis. The presence of apatite deposits could be of poor prognosis. Non pharmacological treatment includes the explanation of the inflammatory phenomena involved and the use of splints and physical therapy. Drug therapy includes analgesics, NSAIDs and infiltration of a steroid. Chondroitin sulfates have an analgesic and functional effect proven. DMARDs such as hydroxychloroquine and methotrexate have been used successfully. Some patients also benefited from isotope synoviortheses. New therapeutic ways, based on the pathophysiology of the disease, are new under evaluation.
Keywords
Analgesics/therapeutic use, Anti-Inflammatory Agents, Non-Steroidal/therapeutic use, Antirheumatic Agents/therapeutic use, Apatites/metabolism, Chondroitin Sulfates/therapeutic use, Glucocorticoids/therapeutic use, Hand, Humans, Hydroxychloroquine/therapeutic use, Methotrexate/therapeutic use, Osteoarthritis/diagnosis, Osteoarthritis/physiopathology, Prognosis
Pubmed
Create date
14/01/2014 13:42
Last modification date
20/08/2019 15:24
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