Spectrum of Rheumatological Disorders: A Clinic-based Study
| العنوان: | Spectrum of Rheumatological Disorders: A Clinic-based Study |
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| المؤلفون: | Khwaja Nazim Uddin, Moshiur Rahman Khasru, Md. Shah Zaman Khan, A K M Musa, Md. Raziur Rahman, Md. Delwar Hossain, Mostaque Hossain, Jamal Uddin Ahmed, Samira Rahat Afroze, Farhana Afroz, Reshad Falah Nazim, Hasna Fahmima Haque, Pratik Dewan, Muhammad Abdur Rahim, AKM Shaheen Ahmed |
| المصدر: | Journal of Medicine. 15:23-27 |
| بيانات النشر: | Bangladesh Journals Online (JOL), 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, Osteoporosis, General Medicine, Osteoarthritis, medicine.disease, Metabolic bone disease, Surgery, Rheumatoid arthritis, Diabetes mellitus, Fibromyalgia, Internal medicine, medicine, Prednisolone, business, medicine.drug, Kidney disease |
| الوصف: | Objectives: To assess the prevalence and distribution of rheumatic diseases at rheumatology clinic in a tertiary level hospital. Methods: This retrospective study was done at rheumatology clinic of BIRDEM from July 2009 to December 2012. Diagnoses were reached by using clinical criteria supplemented by necessary investigations. Results: Total number of patients was 772 with female predominance (F:M ratio of 1.3:1). Mean age was 46.9 (range 13-83) years. Majority (85.9%) were in 3rd to 6th decades. Degenerative diseases (49.9%) were most common, followed by inflammatory conditions (33.5%), soft tissue rheumatism (7%), metabolic bone disease (4.8%) and connective tissue diseases (2.5%). Rheumatoid arthritis (27.7%) was the most prevalent disease, followed by osteoarthritis of knees (26.2%) and lumber spines (23.4). Tendinitis, osteoporosis, fibromyalgia and systemic lupus erythematosus prevailed in 5.6%, 4.8%, 1.4% and 1.3% cases respectively. Common comorbidities were diabetes mellitus (87.9%), hypertension (22.2%), ischaemic heart disease (12.4%), dyslipidaemia (10.1%), fatty liver (7.9%), chronic kidney disease (6.9%) and hypothyroidism (4.5%). Commonly prescribed medications were non-steroidal anti-inflammatory drugs (93%), disease modifying anti-rheumatic drugs (28.9%) and prednisolone (10.6%). Physiotherapy was required in 13.3% cases. In 56.6% cases various combination of treatment was required. In 12% patients receiving methotrexate, adverse effects occurred. Conclusion: Degenerative joint and spine diseases were more common but as an individual disease rheumatoid arthritis was the most prevalent condition. DOI: http://dx.doi.org/10.3329/jom.v15i1.19855Test J Medicine 2014; 15: 23-27 |
| تدمد: | 2075-5384 1997-9797 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::d2ff621be2104190c1e60581d29d1d3fTest https://doi.org/10.3329/jom.v15i1.19855Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi...........d2ff621be2104190c1e60581d29d1d3f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20755384 19979797 |
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