Spontaneous tendon rupture in systemic lupus erythematosus: association with Jaccoud's arthropathy
Spontaneous tendon rupture in systemic lupus erythematosus: association with Jaccoud's arthropathy
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DOI：
10.1177/0961203309351729
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发表时间：
2010-03-01
期刊：
影响因子：
2.6
通讯作者：
Santiago, M. B.
中科院分区：
文献类型：
--
作者：
Alves, E. M.;Macieira, J. C.;Santiago, M. B.
肌腱断裂在系统性红斑狼疮患者中很少被描述。通过观察3例肌腱断裂的Jaccoud关节病，并考虑到这种关节病与腱鞘的炎症过程比滑膜炎本身更相关，本研究的目的是回顾系统性红斑狼疮患者的肌腱断裂病例，希望确定与这种并发症相关的Jaccoud关节病的频率。使用MEDLINE、Scielo和LILACS数据库（1966年至2009年）和以下关键词进行的系统性综述：系统性红斑狼疮、肌腱断裂、Jaccoud关节病。另外获得了次要参考文献。此外，三个巴西系统性红斑狼疮患者谁开发肌腱断裂的描述。只有40篇文章符合先前制定的标准。它们均为病例报告;报告的病例数为52例，加上本文介绍的3例病例，共计55例病例。46例患者为女性，年龄在19至71岁之间，平均年龄为40.1 ± 12.4岁，平均病程为10年。最常见的断裂部位是髌腱和跟腱。虽然几乎所有描述的患者都在使用不同剂量的皮质类固醇，但16例患者同时患有Jaccoud关节病（29%）。总之，系统性红斑狼疮患者的关节病和肌腱断裂之间的关系被低估了。由于近三分之一的系统性红斑狼疮患者肌腱断裂同时伴有Jaccoud关节病，因此Jaccoud关节病可作为肌腱断裂的危险标志。Lupus（2010）19，247-254.
Tendon rupture has rarely been described in patients with systemic lupus erythematosus. From observation of three cases of Jaccoud's arthropathy with tendon rupture, and considering that this arthropathy is more related to an inflammatory process of the tendon sheath than to synovitis per se, the intention of this study was to review the cases of tendon rupture in patients with systemic lupus erythematosus, in the hope of determining the frequency of Jaccoud's arthropathy associated with this complication. Systematic review using MEDLINE, Scielo and LILACS databases (1966 to 2009) and the following keywords: systemic lupus erythematosus, tendon rupture, Jaccoud's arthropathy. Secondary references were additionally obtained. Additionally, three Brazilian systemic lupus erythematosus patients who developed tendon rupture are described. Only 40 articles obtained fulfilled the previously established criteria. They were all case reports; the number of cases reported was 52 which, together with the three cases presented herein add up to 55 cases. Forty-six patients were women aged between 19 and 71 years, with a mean age of 40.1 +/- 12.4 years, and the average duration of the disease was 10 years. The most frequently observed rupture sites were the patellar and Achilles' tendons. While almost all patients described were on various doses of corticosteroids, 16 patients concomitantly had Jaccoud's arthropathy (29%). In conclusion, the association between Jaccoud's arthropathy and tendon rupture in systemic lupus erythematosus has been underestimated. As almost one-third of the systemic lupus erythematosus patients with tendon rupture also have Jaccoud's arthropathy, this arthropathy may be recognized as risk marker for tendon rupture. Lupus (2010) 19, 247-254.