Everand Logo

Welcome to Everand!

  • Discover millions of ebooks, audiobooks, and so much more with a free trial

    Only $11.99/month after trial. Cancel anytime.

    The Rheumatic Hand
    The Rheumatic Hand
    The Rheumatic Hand
    Ebook74 pages23 minutes

    The Rheumatic Hand

    By Raphael Micheroli, Giorgio Tamborrini and Diego Kyburz

    5/5

    ()

    Read preview

    About this ebook

    Many rheumatic diseases cause changes that are visible in the hands. This book provides an overview of the most common rheumatic diseases with a focus on their hand manifestations and includes the following topics: Epidemiology, Etiology and Pathogenesis; Hand Manifestations; Further Clinical Manifestations; and the Diagnosis and Therapy of Each Disease. The rheumatic diseases addressed are osteoarthritis, rheumatoid arthritis, gout, calcium pyrophosphate dihydrate deposition disease, psoriatic arthritis, reactive arthritis, systemic sclerosis and dermatomyositis/polymyositis.
    The non-rheumatic diseases included are diabetic cheiroarthropathy, endocarditis, secondary hypertrophic osteoarthropathy and chronic regional pain syndrome. The roles of clinical evaluation, X-ray, MRI and high-resolution ultrasonographic images are also discussed.
    LanguageEnglish
    PublisherBooks on Demand
    Release dateApr 15, 2015
    ISBN9783735707338
    The Rheumatic Hand
    Author

    Raphael Micheroli

    Raphael Micheroli is a resident physician in training for the board certification of Rheumatology in Switzerland. In November 2015 he will have completed the mandatory two-year period in internal medicine, practicing at the district hospital of Glarus. Thereafter, he will work at the Rheumatology Department of University Hospital of Zurich.

    Related to The Rheumatic Hand

    Related ebooks

    Related podcast episodes

    Related articles

    • Article

      Coping with... ENTHESITIS

      Oct 7, 2020

      Tendons attach muscles to bones, ligaments attach bones to one another, and where a tendon or ligament meets the bone is an enthesis. Enthesitis occurs when they become inflamed and painful because of injury, overuse or disease. There are many diffe

      1 min read

    • Article

      Pressure POINTS

      Jul 25, 2021

      If you’re lying on a massage table worrying about not being a good massage recipient, you’re probably not doing it right. This is the thought that made me snort-laugh last week at a Rotorua spa, startling the masseur. It’s not that I’m a massage novi

      2 min read

    • Article

      When Your Body FIGHTS ITSELF

      Oct 3, 2019

      When Your Body FIGHTS ITSELF
      4 min read

    • Article

      R Rheumatoid Arthritis

      May 26, 2017

      R Rheumatoid Arthritis
      1 min read

    • Article

      Coping with BONE CANCER

      Apr 20, 2022

      Coping with BONE CANCER
      2 min read

    • Article

      Coping with... JOINT PAIN

      Jul 1, 2020

      Trauma to any joint will cause pain. If the injury is severe, the pain can become long-term. If the joint surfaces are disrupted, such as after a fracture, osteoarthritis can be a result. As well as the bony joint surfaces, trauma can damage soft tis

      1 min read

    • Article

      COPING WITH… Rheumatoid arthritis

      Oct 1, 2020

      COPING WITH… Rheumatoid arthritis
      1 min read

    • Article

      COPING WITH… Spondyloarthritis

      Mar 24, 2022

      COPING WITH… Spondyloarthritis
      1 min read

    • Article

      Understanding ARTHRITIS

      Oct 8, 2020

      Understanding ARTHRITIS
      4 min read

    • Article

      Dr Gill

      Oct 12, 2022

      When comparing the incidence of dementia in 250,000 Danish people diagnosed with shingles to age-matched general population controls, researchers had expected to see an increase in dementia rates – perhaps from neuroinflammation, cerebral vasculopath

      3 min read

    • Article

      Coping with THORACIC OUTLET SYNDROME

      Jan 31, 2024

      ADVICE FROM OUR WOMAN’S WEEKLY DOCTOR There are three types of thoracic outlet syndrome (TOS). The commonest type is neurogenic TOS, where a group of nerves called the brachial plexus coming from the spinal cord, is compressed, affecting muscle move

      4 min read

    • Article

      Coping with... SPONDYLOARTHRITIS

      Mar 4, 2020

      Spondyloarthritis (SpA) is increasingly recognised as a specific group of conditions causing pain, inflammation and swelling of joints, with a key feature of enthesitis – inflammation at the tendon attachments to bones, rather than just the joint sur

      2 min read

    • Article

      Supporting Research

      Jul 25, 2021

      Supporting Research
      1 min read

    • Article

      Coping with... TESTICULAR LUMPS AND SWELLINGS

      Oct 11, 2023

      ADVICE FROM OUR WOMAN’S WEEKLY DOCTOR Lumps, cysts and swellings can occur in the testicles and surrounding tissue, which includes blood vessels, the spermatic cord, the epididymis (a long coiled tube on the back of each testicle that carries and st

      4 min read

    • Article

      Stiff Bows, Stiff Joints?

      Apr 16, 2021

      Stiff Bows, Stiff Joints?
      6 min read

    • Article

      The Low-down On ARTHRITIS

      Jul 2, 2020

      The Low-down On ARTHRITIS
      3 min read

    • Article

      When The Drugs DO WORK…

      Oct 3, 2019

      When The Drugs DO WORK…
      3 min read

    • Article

      Coping with... RHEUMATOID ARTHRITIS

      Nov 11, 2020

      Rheumatoid is complex and slowly progressive, with quiet times, and then ‘flares’, where symptoms are worse. As well as affecting the joints, other symptoms can occur, such as carpal tunnel syndrome or eye inflammation, as well as general tiredness a

      1 min read

    • Article

      Coping with... PERIPHERAL VASCULAR DISEASE

      Jun 24, 2020

      PVD, also known as peripheral arterial disease or atherosclerosis, is caused by a build-up of fatty deposits made of cholesterol and other waste products in the artery walls, restricting blood supply to the tissues. Most common in the legs, the proce

      1 min read

    • Article

      SPOTLIGHT ON... arthritis

      Mar 24, 2021

      SPOTLIGHT ON... arthritis
      2 min read

    • Article

      Coping with... BONE CANCER

      Mar 21, 2024

      Around 550 new cases occur in the UK annually. It’s a separate condition from much commoner secondary bone cancer, which is cancer that has spread to the bones from cancers in other tissues. Bone cancer can affect any bone but usually appears in the

      2 min read

    • Article

      Avoiding Arthritis

      Mar 2, 2021

      Avoiding Arthritis
      4 min read

    Reviews for The Rheumatic Hand

    5/5

    1 rating0 reviews

    What did you think?

    Tap to rate

    Review must be at least 10 words

      Book preview

      The Rheumatic Hand - Raphael Micheroli

      INTRODUCTION

      Many rheumatic diseases show changes that are visible in the hands. Fundamental information on these diseases is revealed by the pattern of distribution in the relevant joints, soft-tissue changes, skin manifestations, neurological and vascular symptoms, and clinical findings. Imaging and lab results provide diagnostic support.

      In this book, these common diseases are presented in terms of their clinical expressions in the hands: osteoarthritis, rheumatoid arthritis, gout, calcium pyrophosphate dihydrate deposition disease, psoriatic arthritis, reactive arthritis, systemic sclerosis and dermatomyositis/polymyositis. Furthermore, we discuss the pathological findings in the hands as a result of diabetic cheiroarthropathy, endocarditis, secondary hypertrophic osteoarthropathy and chronic regional pain syndrome.

      R. MICHEROLI

      G. TAMBORRINI

      D. KYBURZ

      RHEUMATIC-DISEASES

      OSTEOARTHRITIS (OA)

      1a Clinical image showing swelling and deformity of the distal and proximal interphalangeal joints

      1b X-ray image with joint space narrowing (arrowhead), subchondral cyst (arrow), osteophytes (star) and deformities of the distal and proximal interphalangeal joints

      2a-c Ultrasound of the volar longitudinal DIP joint (at the top) and of the longitudinal PIP joint (at the bottom, 2D and 3D) with osteophytes (arrows) and joint effusion (stars)

      EPIDEMIOLOGY

      Osteoarthritis is the most common joint disease. The incidence of coxarthrosis (hip OA) is 40-80/100,000 inhabitants/year, that of gonarthrosis (knee osteoarthritis) is 160-240/100,000 inhabitants/year, and that of finger osteoarthritis is 100/100,000 inhabitants/year. In general, women are affected approximately 1.7 times more frequently. The prevalence in 34-year-olds is as high as 17% but increases to over 90% in people aged 65 and over.

      ETIOLOGY AND PATHOGENESIS

      The causes of primary idiopathic osteoarthritis are unclear. However, genetic predisposition (association with HLA-A1,-B8), endocrine factors and metabolic disorders seem to have an influence.

      Risk factors for secondary osteoarthritis include age, gender (women aged 55 and over are especially affected), joint trauma, obesity, dietary factors, biomechanical malalignment, deformity, inflammatory diseases and diseases of the nervous system. Chondrozytic dysfunction, which is associated with an inadequate synthesis capacitiy, leads to an overall degradation of the cartilage and to a secondary loss of tissue surrounding the joint.

      HAND MANIFESTATIONS

      Osteoarthritis of the finger joints is usually a primary, polyarticular osteoarthritis with an affinity for the distal interphalangeal (DIP)

      Enjoying the preview?
      Page 1 of 1