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- Title
Spectrum of Rheumatological Disorders: A Clinic-based Study.
- Authors
AHMED, AKM SHAHEEN; RAHIM, MUHAMMAD ABDUR; DEWAN, PRATIK; HAQUE, HASNA FAHMIMA; NAZIM, RESHAD FALAH; AFROZ, FARHANA; AFROZE, SAMIRA RAHAT; AHMED, JAMAL UDDIN; HOSSAIN, MOSTAQUE; HOSSAIN, MD. DELWAR; RAHMAN, MD. RAZIUR; MUSA, AKM; ZAMAN KHAN, MD SHAH; KHASRU, MOSHIUR RAHMAN; UDDIN, KHWAJA NAZIM
- Abstract
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.
- Subjects
RHEUMATOLOGY; DISEASE prevalence; CLINICS; RHEUMATOID arthritis; DEGENERATION (Pathology)
- Publication
Journal of Medicine, 2014, Vol 15, Issue 1, p23
- ISSN
1997-9797
- Publication type
Article
- DOI
10.3329/jom.v15i1.19855