Erosive hand osteoarthritis: latest findings and outlook.


Journal

Nature reviews. Rheumatology
ISSN: 1759-4804
Titre abrégé: Nat Rev Rheumatol
Pays: United States
ID NLM: 101500080

Informations de publication

Date de publication:
03 2022
Historique:
accepted: 23 12 2021
pubmed: 3 2 2022
medline: 23 3 2022
entrez: 2 2 2022
Statut: ppublish

Résumé

Osteoarthritis (OA) most commonly affects knee joints, and the next most commonly affected sites are the hands and hips. Three distinct hand OA phenotypes have been described: erosive hand OA (EHOA), nodal hand OA - also known as non-erosive hand OA (non-EHOA) - and first carpometacarpal joint OA. EHOA predominantly affects women and is the most aggressive form of hand OA, characterized by a severe clinical onset and progression, leading to joint damage, disability and reduction of quality of life. Clinical signs of inflammation associated with EHOA include the acute onset of pain, swelling and redness. Moreover, EHOA is characterized by radiographic features such as central erosion, saw-tooth and gull-wing lesions and, rarely, ankylosis. The aim of this Review is to report the latest findings on epidemiology, clinical features, pathology and aetiopathogenesis, biomarkers, imaging modalities and treatments for EHOA. The ongoing development of new hand OA classification criteria should facilitate standardization between studies.

Identifiants

pubmed: 35105980
doi: 10.1038/s41584-021-00747-3
pii: 10.1038/s41584-021-00747-3
doi:

Substances chimiques

Biomarkers 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

171-183

Informations de copyright

© 2022. Springer Nature Limited.

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Auteurs

Marta Favero (M)

Rheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.

Elisa Belluzzi (E)

Rheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.
Musculoskeletal Pathology and Oncology Laboratory, Orthopaedics and Orthopaedic Oncology, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.

Augusta Ortolan (A)

Rheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.

Mariagrazia Lorenzin (M)

Rheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.

Francesca Oliviero (F)

Rheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.

Andrea Doria (A)

Rheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy.

Carla R Scanzello (CR)

Section of Rheumatology and Translational Musculoskeletal Research Center, Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, USA.
Division of Rheumatology and Department of Orthopedic Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.

Roberta Ramonda (R)

Rheumatology Unit, Department of Medicine-DIMED, Padova University Hospital, Padova, Italy. roberta.ramonda@unipd.it.

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