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Osteoarthritis of the temporomandibularjoint

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Abstract

Osteoarthritis (OA) is a degenerativejoint disease marked by progressive lossof articular cartilage and damage of bony components. The clinical features include;joint pain, crepitus and limitation of movement. The exact cause of OA is unknownhowever some authors consider it as a multifaetorial disease. The age and over usageare the most common tactors, in addition to race and sex. ln case oftemporomandibular joint(TMJ), traumatic occlusion, and over load caused byparafunctions are additional factors. The purpose ofthis investigation was to study theTMJ) arthropathy among a group of Iraqi patients previously diagnosed as having(.OAOne hundred patients with OA are used in this study. They were examined.clinically and radiographically for effects of systemic OA on TMJResults of the study revealed that 39% of patients with OA have TMJ lesions ofdifferent degrees ranged between osteophytes, diminusion of joint space and bone.distruction ofglenoid fossa and head of condyleDental management of temporomandibular joints affected with OA usuallyaim to suppress the active disease, preserve functions, prevent deformity and relievepain. Early detection of the disease and early commencement of management greatly ireduce joint destruction and improve prognosis. Results of this study indicated thatl1% of patients had only TMJ lesions, with no other joints lesions. Because ofdifficulty of interpretation of TMJ radiographs we suggest criteria for radiographicdiagnosis of osteoarthritis ofthe TMJ


Article
Magnitude of arthropathy in patients with hemophilia: A single‑center experience

Author: Rawand Polus Shamoon
Journal: Iraq Joural of Hematology المجلة العراقية لامراض الدم ISSN: 20728069/25432702 Year: 2017 Volume: 6 Issue: 2 Pages: 78-83
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

BACKGROUND: Hemophilia is a sex‑linked bleeding disorder. Affected patients suffer spontaneousor post-traumatic bleeding into various sites of the body, mainly into joints, depending on the levelof coagulation factor deficiency.AIMS: This descriptive study is designed to assess the prevalence and extent of arthropathy andevaluate the functional status of hemophiliacs in Erbil, Northern Iraq.SETTINGS AND DESIGN: A descriptive study of all registered hemophiliacs at NanakaliHemato‑Oncology Teaching Centre, Erbil, Iraq.PATIENTS AND METHODS: Over 15 months (October 2015 to February 2017), a total of 133hemophilia patients were studied. Their hospital records were used to retrieve clinical and laboratorydata, mainly their coagulation profile. All patients were clinically examined at the daycare center;plain radiography was used to evaluate the degree of joint damage based on Petterson score. Themagnitude of joint disease was assessed, and patients’ functional status was evaluated dependingon Functional Independence Score in Hemophilia (FISH).STATISTICAL ANALYSIS USED: Statistical analysis used MS Excel 2010.RESULTS: Hemophiliacs mean age was 12.9 years. Patients with severe hemophilia presented earlierand had more bleeding episodes. At least one bout of hemarthrosis was recorded in 103/133 patientsduring the course of their disease with knee joint most frequently involved (in eighty patients) followedby elbow, ankle, wrist, and shoulder. The Petterson score related significantly to age of the patient,number of bleeds, and severity of hemophilia. Majority, 67%, of hemophiliacs found to have thelimitation of movement. FISH score significantly related with factor activity level. Functional disabilitywas encountered in 9.7% of cases; majority had severe hemophilia.CONCLUSIONS: The incidence and severity of joint bleeding and functional disability were high.The FISH and Pettersson scoring systems are very useful tools in assessing patients with hemophilicarthropathy.


Article
THE PATTERN OF PSORIATIC ARTHROPATHY IN MOSUL AREA
نمط من الاعتلال المفصلي الصدفي في منطقة الموصل

Author: Abdullah F. Rajaa عبدالله فتاح رجا
Journal: The Medical Journal of Tikrit مجلة تكريت الطبية ISSN: 16831813 Year: 2010 Volume: 1 Issue: 161 Pages: 119-121
Publisher: Tikrit University جامعة تكريت

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Abstract

Psoriasis is a common disease of skin. Arthritis associated, followed or antedated skin lesions also so common. This study used to estimates patients with psoriasis who developed arthritis and to study the pattern of this type of arthritis at Mosul city, Alzahrawi teaching hospital during the period of 1st Jan. till 30th of June 2002.115 patients with psoriasis participated in this study,27% 0f them developed arthritis with mean age ±SD=38.6±15.3,females affected more than males in ratio(1.5:1).Asymmetrical oligoarthritis is the most common type of arthritis , Lumbosacral and large joints are commonly involved, in 19% of them distal interphalangeal joint of the hand was involved. About 80.5% of patients were complaint of morning stiffness and only 1o.5% developed ocular involvements in form of iritis

الصدفية هو مرض شائع من الجلد. التهاب المفاصل المرتبطة بها، والجلد بعد أو antedated آفات أيضا شائعة جدا. هذه الدراسة تستخدم لمرضى الصدفية مع التقديرات التي وضعت التهاب المفاصل ودراسة نمط من هذا النوع من التهاب المفاصل في مدينة الموصل، Alzahrawi المستشفى التعليمي خلال الفترة من 1 يناير حتى 30 يونيو 2002.115 المرضى الذين يعانون من مرض الصدفية وشارك في هذه الدراسة، 27٪ وضعت 0F لهم التهاب المفاصل مع متوسط ​​عمر ± SD = 38.6 ± 15.3، الإناث تتأثر أكثر من الذكور في نسبة (1.5:1). oligoarthritis غير المتكافئة هو النوع الاكثر شيوعا من التهاب المفاصل، ويشارك عادة المفاصل القطنية العجزية والكبيرة، في 19٪ منها وشارك مشترك سلاميات البعيدة من متناول اليد. وكان حوالي 80.5٪ من المرضى شكوى من تصلب في الصباح و٪ فقط 1o.5 المتقدمة تدخلات العين في شكل التهاب القزحية

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