Symptomatic femoral head necrosis in patients with rheumatoid arthritis: A retrospective case-control study.


Journal

Immunity, inflammation and disease
ISSN: 2050-4527
Titre abrégé: Immun Inflamm Dis
Pays: England
ID NLM: 101635460

Informations de publication

Date de publication:
06 2022
Historique:
revised: 16 04 2022
received: 04 02 2022
accepted: 23 04 2022
entrez: 31 5 2022
pubmed: 1 6 2022
medline: 3 6 2022
Statut: ppublish

Résumé

We conducted a retrospective case-control study to investigate the risk factors for osteonecrosis of the femoral head (ONFH) in rheumatoid arthritis (RA) patients. The clinical data of patients diagnosed with RA at Fujian Provincial Hospital from January 2013 to December 2020 were retrospectively collected and evaluated. Twenty-two patients with ONFH were identified. Eighty-eight age-, sex-, and disease duration-matched RA patients without symptomatic ONFH were randomly selected as controls in a ratio of 1:4. Logistic regression analysis was used to analyze the risk factors. The anticardiolipin (ACL)-immunoglobulin G (IgG) concentration, clinical disease activity index, simplified disease activity index, incidence of hyperlipidemia in the case group were higher than those in the control group. Multivariate logistic regression analysis did not find the independent risk factor in ONFH patients with RA. The pathogenesis of ONFH in RA is related to many factors such as ACL IgG, disease activity index, and hyperlipidemia. While, we went to great lengths to explore the relationship between antiphospholipid antibodies and ONFH, but it plays a very small role.

Identifiants

pubmed: 35634962
doi: 10.1002/iid3.633
pmc: PMC9091993
doi:

Substances chimiques

Immunoglobulin G 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e633

Informations de copyright

© 2022 The Authors. Immunity, Inflammation and Disease published by John Wiley & Sons Ltd.

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Auteurs

Qijiao Wei (Q)

Department of Rheumatology, Fujian Provincial Hospital, Fuzhou, China.
Fujian Medical University Provincial Clinical Medical College, Fuzhou, China.

Qing Yan (Q)

Department of Rheumatology, Fujian Provincial Hospital, Fuzhou, China.
Fujian Medical University Provincial Clinical Medical College, Fuzhou, China.

Diantian Lin (D)

Department of Rheumatology, Fujian Provincial Hospital, Fuzhou, China.
Fujian Medical University Provincial Clinical Medical College, Fuzhou, China.

Fei Gao (F)

Department of Rheumatology, Fujian Provincial Hospital, Fuzhou, China.
Fujian Medical University Provincial Clinical Medical College, Fuzhou, China.

He Lin (H)

Department of Rheumatology, Fujian Provincial Hospital, Fuzhou, China.
Fujian Medical University Provincial Clinical Medical College, Fuzhou, China.

Zhihan Chen (Z)

Department of Rheumatology, Fujian Provincial Hospital, Fuzhou, China.
Fujian Medical University Provincial Clinical Medical College, Fuzhou, China.

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Classifications MeSH