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P68 Association of rheumatic heart disease with rheumatological diseases
170
Indian Journal of Rheumatology 2006 December; Vol. 1, No. 3
Posters
other connective tissue disorders were evaluated for ACL positivity. ACL IgG and IgM were positive in 73% and 30% of young stroke, 88% and 29% of recurrent foetal loss, 87% and 38% in peripheral thromboembolic events, 10% and 10% of young MI and 30% and 10% in other suspected primary APS syndromes, respectively. In suspected secondary APS 71% and 21% for SLE, 70% and 50% for Vasculitis, and 33% and 1.1% for other connective disorders were detected for ACL IgG and IgM, respectively. Conclusions: ACL IgG is more frequently positive than ACL IgM in both primary and secondary suspected antiphospholipid antibodies syndrome.
P67
Withdrawal from labour force due to work disability in patients with seronegative spondyloarthropathy SM Akerkar, LS Bichile, M Gaikwad, J Kharaje Department of Medicine, Seth GSMC & KEM Hospital, Parel, Mumbai, India.
Introduction: Seronegative spondyloarthropathy (SSA) is a chronic inflammatory disease and is associated with significant work disability. There is no Indian data on the work disability due to SSA. We aimed to study the work disability and to the attributable factors in a developing country like ours. Objectives: To investigate work disability owing to SSA and to determine the characteristics of patients unable to work due to disability attributable to SSA. Methods: About 109 consecutive SSA patients attending a tertiary care rheumatology setup were assessed for work disability. Primary univariate analysis included demographic factors, educational status, nature of work at job, type of job in relation to work disability. Variables associated with poor outcome were then subjected to multiple logistic regression analysis to identify factors that independently correlated with withdrawal from work. Outcome measures: Changes in and withdrawal from work. Results: Out of the 109 patients (mean age, 27.53 years); 29 were students, 34 were self employed and 33 were in service job while 8 were homemakers. Five patients were unemployed and attributed the same to SSA. Of 80 patients (service job/ self-employed/homemakers), 20 (25%) felt that they were working to full capacity while 21 (25%) had to withdraw from work. Those who had to withdraw from work were more likely to have longer disease duration and higher age. Work disability was not found to be related to educational status (P = 0.0185) or type of job (P = 0.3448). Conclusions: Withdrawal from work was the adverse outcome in one fourths of the employed patients due to SSA. Within the patients, higher age and longer disease duration were significant indicators of withdrawal.
P68
Association of rheumatic heart disease with rheumatological diseases R Ravichandran, RC Panchapakesa, P Kanakarani, S Rukmangatharajan, S Rajeswari, N Vasanthy Department of Rheumatology, Madras Medical College, Chennai, Tamil Nadu.
Objective: To analyze the association of rheumatological diseases in patients with established rheumatic heart disease. Methods: A total of 17 patients with established rheumatic heart disease with symptoms of persisting arthritis, back pain, heel pain, referred to rheumatology department, Government General Hospital, between August 2003 and July 2006 were analysed. Results: There were 12 females, 3 males and 2 children met ACR (RA), ESSG, (SPA) and ILAR (JIA) criteria. The duration of cardiac disease being 2 months to 16 years, mitral lesions being the commonest. The duration of arthritis, back pain, heel pain vary between 2 months and 2 years. Seropositive RA 5, seronegative RA 3, seronegative RA with nodules 1, undiff SPA 6 and polyarticular JIA, RF positive 2. All being treated with DMARDS in addition to cardiac drugs. Conclusion: The mere presence of RHD, does not exclude the associated rheumatological disease, which has to be analyzed.
P69
Presenting clinical features of systemic arthritis of JIA: 71 patients—Chennai study R Ravichandran, RC Panchapakesa, N Vasanthy, P Kanakarani, S Rukmangatharajan, S Rajeswari, G Jayalakshmi Department of Rheumatology, Madras Medical College, Chennai, Tamil Nadu.
Objectives: To review the presentation and characteristics of systemic arthritis of JIA children.
Indian Journal of Rheumatology 2006 December; Vol. 1, No. 3
Posters
other connective tissue disorders were evaluated for ACL positivity. ACL IgG and IgM were positive in 73% and 30% of young stroke, 88% and 29% of recurrent foetal loss, 87% and 38% in peripheral thromboembolic events, 10% and 10% of young MI and 30% and 10% in other suspected primary APS syndromes, respectively. In suspected secondary APS 71% and 21% for SLE, 70% and 50% for Vasculitis, and 33% and 1.1% for other connective disorders were detected for ACL IgG and IgM, respectively. Conclusions: ACL IgG is more frequently positive than ACL IgM in both primary and secondary suspected antiphospholipid antibodies syndrome.
P67
Withdrawal from labour force due to work disability in patients with seronegative spondyloarthropathy SM Akerkar, LS Bichile, M Gaikwad, J Kharaje Department of Medicine, Seth GSMC & KEM Hospital, Parel, Mumbai, India.
Introduction: Seronegative spondyloarthropathy (SSA) is a chronic inflammatory disease and is associated with significant work disability. There is no Indian data on the work disability due to SSA. We aimed to study the work disability and to the attributable factors in a developing country like ours. Objectives: To investigate work disability owing to SSA and to determine the characteristics of patients unable to work due to disability attributable to SSA. Methods: About 109 consecutive SSA patients attending a tertiary care rheumatology setup were assessed for work disability. Primary univariate analysis included demographic factors, educational status, nature of work at job, type of job in relation to work disability. Variables associated with poor outcome were then subjected to multiple logistic regression analysis to identify factors that independently correlated with withdrawal from work. Outcome measures: Changes in and withdrawal from work. Results: Out of the 109 patients (mean age, 27.53 years); 29 were students, 34 were self employed and 33 were in service job while 8 were homemakers. Five patients were unemployed and attributed the same to SSA. Of 80 patients (service job/ self-employed/homemakers), 20 (25%) felt that they were working to full capacity while 21 (25%) had to withdraw from work. Those who had to withdraw from work were more likely to have longer disease duration and higher age. Work disability was not found to be related to educational status (P = 0.0185) or type of job (P = 0.3448). Conclusions: Withdrawal from work was the adverse outcome in one fourths of the employed patients due to SSA. Within the patients, higher age and longer disease duration were significant indicators of withdrawal.
P68
Association of rheumatic heart disease with rheumatological diseases R Ravichandran, RC Panchapakesa, P Kanakarani, S Rukmangatharajan, S Rajeswari, N Vasanthy Department of Rheumatology, Madras Medical College, Chennai, Tamil Nadu.
Objective: To analyze the association of rheumatological diseases in patients with established rheumatic heart disease. Methods: A total of 17 patients with established rheumatic heart disease with symptoms of persisting arthritis, back pain, heel pain, referred to rheumatology department, Government General Hospital, between August 2003 and July 2006 were analysed. Results: There were 12 females, 3 males and 2 children met ACR (RA), ESSG, (SPA) and ILAR (JIA) criteria. The duration of cardiac disease being 2 months to 16 years, mitral lesions being the commonest. The duration of arthritis, back pain, heel pain vary between 2 months and 2 years. Seropositive RA 5, seronegative RA 3, seronegative RA with nodules 1, undiff SPA 6 and polyarticular JIA, RF positive 2. All being treated with DMARDS in addition to cardiac drugs. Conclusion: The mere presence of RHD, does not exclude the associated rheumatological disease, which has to be analyzed.
P69
Presenting clinical features of systemic arthritis of JIA: 71 patients—Chennai study R Ravichandran, RC Panchapakesa, N Vasanthy, P Kanakarani, S Rukmangatharajan, S Rajeswari, G Jayalakshmi Department of Rheumatology, Madras Medical College, Chennai, Tamil Nadu.
Objectives: To review the presentation and characteristics of systemic arthritis of JIA children.