Abstract
Objectives. - To investigate the clinical, serologic, radiologic and immunogenetic characteristics of rheumatoid arthritis (RA) occurring in patients with beta-thalassemic trait as compared with RA in control patients from the same geographical area. Materials and methods. - Twenty-eight patients with beta-thalassemic trait fulfilling the American College of Rheumatology (ACR) criteria for RA were compared with a control group of twenty-eight RA patients matched for age, sex, disease duration and place of birth. Clinical and routine laboratory assessment, including anti-keratin antibodies and anti-citrullinated peptide antibodies, was carried out in the two groups. The patients were also evaluated for HLADRB1 alleles and radiologic damage. Results. - No differences were found with regard to clinical indexes of disease activity, laboratory parameters, and joint erosions. The immunogenetic analysis did not show any significant difference, the percentage of patients with alleles encoding for the shared epitope being similar in the two groups (61% vs. 57%). As for the extra-articular features, we found a trend for a lower prevalence of sicca syndrome in the beta-thalassemic group (14% vs. 39%; P = 0.06). Rheumatoid nodules were not found in beta-thalassemic patients while they were present in two RA patients in the control group. Conclusions. - The chronic polyarthritis occurring in beta-thalassemic trait carriers can be regarded as a true RA similar to that found in Mediterranean countries, possibly characterized by a low prevalence of extra-articular features.
| Original language | English |
|---|---|
| Pages (from-to) | 117-120 |
| Number of pages | 4 |
| Journal | Joint Bone Spine |
| Volume | 71 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Apr 2004 |
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Keywords
- Beta-thalassemia
- Rheumatoid arthritis
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
Cite this
Rheumatoid arthritis in beta-thalassemic trait : Clinical, serologic and immunogenetic profile. / Caporali, Roberto; Bugatti, Serena; Rossi, Silvia; Cavagna, Lorenzo; Bogliolo, Laura; Montecucco, Carlomaurizio.
In: Joint Bone Spine, Vol. 71, No. 2, 04.2004, p. 117-120.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Rheumatoid arthritis in beta-thalassemic trait
T2 - Clinical, serologic and immunogenetic profile
AU - Caporali, Roberto
AU - Bugatti, Serena
AU - Rossi, Silvia
AU - Cavagna, Lorenzo
AU - Bogliolo, Laura
AU - Montecucco, Carlomaurizio
PY - 2004/4
Y1 - 2004/4
N2 - Objectives. - To investigate the clinical, serologic, radiologic and immunogenetic characteristics of rheumatoid arthritis (RA) occurring in patients with beta-thalassemic trait as compared with RA in control patients from the same geographical area. Materials and methods. - Twenty-eight patients with beta-thalassemic trait fulfilling the American College of Rheumatology (ACR) criteria for RA were compared with a control group of twenty-eight RA patients matched for age, sex, disease duration and place of birth. Clinical and routine laboratory assessment, including anti-keratin antibodies and anti-citrullinated peptide antibodies, was carried out in the two groups. The patients were also evaluated for HLADRB1 alleles and radiologic damage. Results. - No differences were found with regard to clinical indexes of disease activity, laboratory parameters, and joint erosions. The immunogenetic analysis did not show any significant difference, the percentage of patients with alleles encoding for the shared epitope being similar in the two groups (61% vs. 57%). As for the extra-articular features, we found a trend for a lower prevalence of sicca syndrome in the beta-thalassemic group (14% vs. 39%; P = 0.06). Rheumatoid nodules were not found in beta-thalassemic patients while they were present in two RA patients in the control group. Conclusions. - The chronic polyarthritis occurring in beta-thalassemic trait carriers can be regarded as a true RA similar to that found in Mediterranean countries, possibly characterized by a low prevalence of extra-articular features.
AB - Objectives. - To investigate the clinical, serologic, radiologic and immunogenetic characteristics of rheumatoid arthritis (RA) occurring in patients with beta-thalassemic trait as compared with RA in control patients from the same geographical area. Materials and methods. - Twenty-eight patients with beta-thalassemic trait fulfilling the American College of Rheumatology (ACR) criteria for RA were compared with a control group of twenty-eight RA patients matched for age, sex, disease duration and place of birth. Clinical and routine laboratory assessment, including anti-keratin antibodies and anti-citrullinated peptide antibodies, was carried out in the two groups. The patients were also evaluated for HLADRB1 alleles and radiologic damage. Results. - No differences were found with regard to clinical indexes of disease activity, laboratory parameters, and joint erosions. The immunogenetic analysis did not show any significant difference, the percentage of patients with alleles encoding for the shared epitope being similar in the two groups (61% vs. 57%). As for the extra-articular features, we found a trend for a lower prevalence of sicca syndrome in the beta-thalassemic group (14% vs. 39%; P = 0.06). Rheumatoid nodules were not found in beta-thalassemic patients while they were present in two RA patients in the control group. Conclusions. - The chronic polyarthritis occurring in beta-thalassemic trait carriers can be regarded as a true RA similar to that found in Mediterranean countries, possibly characterized by a low prevalence of extra-articular features.
KW - Beta-thalassemia
KW - Rheumatoid arthritis
UR - http://www.scopus.com/inward/record.url?scp=1642462211&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=1642462211&partnerID=8YFLogxK
U2 - 10.1016/S1297-319X(03)00069-1
DO - 10.1016/S1297-319X(03)00069-1
M3 - Article
C2 - 15050194
AN - SCOPUS:1642462211
VL - 71
SP - 117
EP - 120
JO - Revue du Rhumatisme (English Edition)
JF - Revue du Rhumatisme (English Edition)
SN - 0035-2659
IS - 2
ER -