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Atlas of Rheumatology by Eric L. Matteson (auth.), Gene G. Hunder MD (eds.)

By Eric L. Matteson (auth.), Gene G. Hunder MD (eds.)

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18a. Schrieber L:The endothelium in rheumatoid arthritis. In Rheumatology. Edited by Klippel JH, Dieppe PA. 6. 19. Lane JM, Weiss C: Review of articular cartilage collagen research. Arthritis Rheum 1975, 18:553-562. 20. Harris ED Jr: Rheumatoid arthritis: Pathophysiology and implications for therapy. N EnglJ Med 1990,322:1277-1289. 21. : Self-report questionnaire scores in rheumatoid arthritis compared with traditional, physical, radiographic, and laboratory measures. Ann Intern Med 1989, 110:259-266.

USED FIGURE 1·137. Baseline laboratory studies forthe use of diseasemodifying antirheumatic drugs (DMARDs). Suggested baseline laboratory studies for the use of DMARDs in adults with rheumatoid arthritis. ALTalanine aminotransferase; AST-aspartate transaminase; CBC-complete blood count; G6PD-glucose-6-phosphate dehydrogenase; 1M-intramuscular. 37 FIGURE 1-138. Splinting in juvenile rheumatoid arthritis (JRA). This child has been fitted with a knee splint which will be used at night time to allow the knee to be in a more extended position when the child sleeps.

The onset is often sudden, with redness ofthe eye and eye pain. Visual acuity is usually not affected. ). FIGURE 1·79. Major forms of ocular involvement in rheumatoid arthritis. Keratoconjuntivitis sicca (secondary Sjogren's syndrome) is the most common ophthalmic complication of rheumatoid arthritis. Episcleritis and scleritis occur independent of the joint activity, and usually can be treated topically. Severe nodular scleritis requires systemic treatment, and may progress to scleromalacia perforans, leading to blindness.

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