fa انواع بیماریهای روماتیسمی در بین مراجعه کنندگان به بیمارستان حضرت رسول اکرم(ص) روماتولوژی Rheumatology پژوهشي Research <p style="DIRECTION: rtl">  مطالعه حاضر شامل بررسی و تقسیم بندی بیماریهای روماتیسمی در بین بیماران مراجعه کننده  به واحد بیماریهای رماتیسمی بیمارستان حضرت رسول اکرم (ص) از خرداد ماه 1371 تا دی ماه  1373می باشد. در این مدت خصوصیات دموگرافیک و تشخیص های 3856 بیمار، استخراج و در  یک بانک اطلاعاتی نگهداری شده است. تشخیص های مختلف بیماران در گروههای مختلف مطابق   <strong><i>(1983 ARA Classification) </i></strong>طبقه بندی بیماریهای روماتیسمی انجمن روماتیسم آمریکا<strong><i> </i></strong> بررسی شده است.  متوسط سن بیمارن مورد بررسی 40 سال بوده و 67 درصد آنها را زنان تشکیل داده اند.  بیماریهای منتشر بافت همبند شامل آرتریت روماتوئید (4/17 درصد)، واسکولیتها (1/4 درصد)،  لوپوس ( 8/0درصد) و همچنین آرتریتهای دژنراتیو (6/19درصد) شایعترین گروههای  تشخیصی را تشکیل داده اند. شایعترین بیماریهای روماتیسمی در اطفال ( سن اولین مراجعه کمتر یا  مساوی 16 سال)، آرتریتهای مزمن التهابی، واسکولیتها و تب روماتیسمی حاد و در کهنسالان ( سن  اولین مراجعه بیشتر یا مساوی 60 سال)، بیماریهای دژنراتیو مفاصل و آرتریت روماتوئید بوده  است. بیماریهای اریتم ندوزوم، فیبرومیالژی و سندرم تونل کارپ در زنان و بیماریهای نقرس و اسپوندیلیت آنکیلوزان درمردان بیشتر بوده است. و اسکولیتها، لوپوس و آرتریت روماتویید بیشترین علل بستری بیماران در بخش روماتولوژی را تشکیل داده است. بطور کلی در این مطالعه مراجعه بیماران به یک مرکز تخصصی روماتولوژی و تفاوتهای شیوع سنی و جنسی در <strong><i>Pattern </i></strong></p><p style="DIRECTION: rtl">  بیماریهای مختلف بررسی و نتایج حاصل از آن با چند مطالعه مشابه مقایسه شده است.   </p><p>  </p> <div style="mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt"><tbody><tr><td style="BORDER-BOTTOM: #f0f0f0 BORDER-LEFT: #f0f0f0 PADDING-BOTTOM: 0in BACKGROUND-COLOR: transparent PADDING-LEFT: 0in PADDING-RIGHT: 0in BORDER-TOP: #f0f0f0 BORDER-RIGHT: #f0f0f0 PADDING-TOP: 0in" height="554" valign="top" align="left"><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 20.15pt TEXT-INDENT: 13.65pt MARGIN: 0in 0.7pt 0pt 0.95pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">OBJECTIVE: In order to determine demographic characteristics and to estimate the prevalence of various rheumatic diseases encountered in rheumatology clinic in Tehran, this survey was conducted. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 20.15pt TEXT-INDENT: 13.65pt MARGIN: 0in 0.7pt 0pt 0.95pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">METHODS: This study was carry out at Hazzrat-e Rasool university hospital, the major teaching hospital of Iran university of medical sciences and health services. The study population consisted of </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">3856 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">consecutive newly refered patients of various ages who were seen at the clinic between May </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">1992 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">and June 1995. <p></p></span></i></p><p style="LINE-HEIGHT: 20.15pt TEXT-INDENT: 14.15pt MARGIN: 0in 1.65pt 0pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">The patients were classified into diagnosis related groups (DRG) according to </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">1983 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">ARA classification of arthritis and rheumatism. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 20.15pt TEXT-INDENT: 13.65pt MARGIN: 0in 0.7pt 0pt 0.95pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">RESUL TS: The </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">3856 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">studied patients had </span></i><span style="FONT-SIZE: 10.5pt"><font face="Times New Roman">a </font></span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">mean age of </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">40 </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">years and 67% were women. Connective tissue disease was the most common DRG which was found in </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">29.5% </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">of the patients. Osteoarthritis and rheumatoid arthritis in various stages were the most common diseases found in 19.6% and </span></i><span style="FONT-SIZE: 9.5pt mso-font-width: 106%"><font face="Times New Roman">17.4% </font></span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">of the Patients respectively. <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 20.15pt TEXT-INDENT: 13.65pt MARGIN: 0in 0.7pt 0pt 0.95pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">Soft tissue rheumatism was found in </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">18.5%, </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">infectious agents related rheumatic syndromes in </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">3%, </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">Spondyloarthropathies in </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">3.8%, </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">and nonspecific arthritis in </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9pt">1.8% </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">of the patients. No case of HIV related musculoskeletal problems was found in this survey. <p></p></span></i></p><p style="LINE-HEIGHT: 19.9pt MARGIN: 0in 0in 0pt 13.9pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 9.5pt">Erythema nodosum, carpal tunnel syndrome, fibromyalgia syndrome and <p></p></span></i></p><p style="MARGIN: 0in 0in 0pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt" class="Style"><span style="FONT-SIZE: 1pt"><p><font face="Times New Roman"> </font></p></span></p><p style="LINE-HEIGHT: 20.4pt MARGIN: 0in 0in 0pt 1.2pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">PSS were more common in women (F/M Ratio </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt mso-font-width: 107%">>8). </span><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">and ankylosing spondylitis and gout in males (MIFRatio>8). <p></p></span></i></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 19.9pt TEXT-INDENT: 14.85pt MARGIN: 0in 0.7pt 0pt 0.95pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">Juvenile rheumatoid arthritis, acute rheumatic fever and vasculitis were the </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">most <i>common diseases in pediatrics patients (age of first visit« 16 years), and osteoarthritis (OA), rheumatoid arthritis (RA) and extraarticular lesions in geriatric patients (age of first vtsite: </i><font size="2"><font face="Arial"><span style="mso-font-width: 113%">60 </span><i>years). <p></p></i></font></font></span></p><p style="TEXT-JUSTIFY: inter-ideograph TEXT-ALIGN: justify LINE-HEIGHT: 19.9pt TEXT-INDENT: 14.85pt MARGIN: 0in 0.7pt 0pt 0.95pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">RA </span></i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">(24.4%), <i>SLE </i>(11.6%), <i>OA(10%) and vasculitis </i>(6.5%) <i>were the most common diseases in </i>525 <i>hospitalized patients. SLE was the major cause of patient mortality. <p></p></i></span></p><p style="LINE-HEIGHT: 20.15pt TEXT-INDENT: 15.1pt MARGIN: 0in 2.6pt 0pt 0.45pt mso-element: frame mso-element-frame-width: 342.7pt mso-element-frame-height: 415.65pt mso-element-wrap: auto mso-element-anchor-horizontal: margin mso-element-left: .05pt mso-element-top: .05pt mso-line-height-rule: exactly" class="Style"><i><span style="FONT-FAMILY: "Arial","sans-serif" FONT-SIZE: 10pt">CONCLUSIONS: The results of this survey are compatible with data obtain from textbook and other similar surveys. <p></p></span></i></p></td></tr></tbody></table></div> 1- بیماریهای روماتیسمی 2- آرتریت روماتوئید 3- طبقه بندی 4- بیماریهای دژنراتیو مفصلی 1) Rheumatic disease 2) Rheumatic arthritis 3) Classification 4) Osteoarthritis 44 52 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1225&slc_lang=fa&sid=1 Hamid Shokohi حمید شکوهی 3900319475328460020996 3900319475328460020996 Yes J. Forghanizadeh جعفر فرقانی زاده 3900319475328460020997 3900319475328460020997 No R. Abhari رویا ابهری 3900319475328460020998 3900319475328460020998 No M.R. Shakibi محمدرضا شکیبی 3900319475328460020999 3900319475328460020999 No