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Article
Quantitative Ultrasound Versus Dual-Energy X-Ray Absorptiometry for Diagnosis of Osteoporosis in Iraqi Women with Rheumatoid Arthritis

Author: Nizar Abdulateef Jassim
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 2 Pages: 114-119
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT: BACKGROUND: Osteoporosis is a major co-morbidity in rheumatoid arthritis (RA). Bone mineral density (BMD) in adults can be assessed precisely by dual-energy x-ray absorptiometry (DXA). In recent years, quantitative ultrasound (QUS) technique has been used in radiation-free assessment of bone density by mean of ultrasound waves attenuated by bone. OBJECTIVE: The aim of study was to compare QUS to DXA in assessing BMD in patients with RA. PATIENTS AND METHODS: Fifty women with RA (diagnosed according to ACR criteria) of 2-12 years duration, their ages range from 30-72 years, who were seen at Osteoporosis Clinic in Baghdad Teaching Hospital were recruited. Sixty four percent were or had been receiving glucocorticoid treatment. All patients receiving disease modifying anti-rheumatic drugs (DMARDs). Lumbar spine BMD was measured by DXA, and QUS for calcaneum was performed in all patients. RESULT: T-scores measured by QUS were correlated significantly with lumbar spine BMD T-scores measured by DXA (p<0.0005). Bone mineral density T-scores were negatively correlated with age and disease duration. Patients taking glucocorticoids were associated with lower T-scores. CONCLUSION: The findings of this study support QUS as an alternative tool for assessing BMD in patients with RA.


Article
Renal Involvement in 25 Patients with Systemic Sclerosis

Authors: Nizar Abdulateef Jassim --- Ziad Shafeek Al-Rawi --- Ali Abdumajeed Diab --- Ali Nazar Mohammed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 1 Pages: 1-6
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Renal involvement is considered a poor prognostic factor and not frequently a cause of death in patients with scleroderma. Renal involvement can be divided into scleroderma renal crisis and non-renal crisis abnormalities.OBJECTIVE:To evaluate the frequency of renal involvement in 25 Iraqi patients with systemic sclerosis (SSc).METHODS:Twenty five patients with SSc (21 female and 4 male) were included in a case-controlled study. All patients fulfilled the American College of Rheumatology criteria for SSc. All patients were of diffuse type. Other types of SSc were excluded. All patients underwent measurement of blood pressure and investigations had been done for them which included: hemoglobin (Hb), white blood cell (WBC) count, platelet count, erythrocyte sedimentation rate (ESR), blood urea (BU), serum creatinine (SCr), general urine examination (GUE), and rheumatoid factor (RF). Same investigations were done for 25 healthy person (considered as control group).RESULT:All patients (100%) had Raynaud’s phenomenon, 23 patients (29%) had dysphagia, 21 patients (84%) had arthralgia, 10 patients (40%) had telangiectasia and 2 patients (8%) had subcutaneous calcification. Three patients (12%) had moderate hypertension. Fourteen patients (56%) had anemia, 2 patients (8%) had leukocytosis, 6 patients (24%) had elevated ESR, 1 patient (4%) had elevated BU, 1 patient (4%) had albuminuria and 4 patients (16%) had positive RF. Platelet count and SCr were normal in all patients. Only 1 patient (4%) had renal involvement in form of combination of azotemia, albuminuria and hypertension.CONCLUSION:Renal involvement in systemic sclerosis among Iraqi patients is rare.

Keywords

renal --- iraqi --- systemic sclerosis.

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