Asymmetrical joint involvement and rheumatoid arthritis: Three cases

Abstract

Symmetric joint involvement one of the criteria of diagnose of rheumatoid arthritis arrangedby American College of Rheumatology. Although it is often mentioned about symmetric jointinvolvement on cases with rheumatoid arthritis, there are fewer cases about asymmetric jointinvolvement. It was observed that frequency of asymmetric joint involvement is higher in cese in which disease activity is low and rheumatoid factor is negative. In this article, our aim is to conspicuousness on asymmetric joint involvement of rheumatoid arthritis by submitting three cases on which rheumatoid arthritis was diagnosed according to criteria of American College of Rheumatology.

Keywords

• Rheumatoid arthritis, Asymmetrical joint involvement

Romatoid artritte asimetrik eklem tutulumu: Üç olgu sunumu

Abstract

Simetrik eklem tutulumu, 1987 yılında Amerikan Romatizma Derneği(ACR) tarafından düzenlenen romatoid artrit tanı kriterleri arasında yer almaktadır. Literatürde romatoid artritli olgularda simetrik tutulumdan sıklıkla söz edilmesine karşın, asimetrik eklem tutulumu ile ilgili olgulara daha az rastlanmaktadır. Hastalık aktivitesi düşük olan ve RF negatif olgularda asimetrik tutulumun görülme sıklığının daha fazla olduğu bildirilmektedir. Asimetrik eklem tutulumu ile başlayan hastalık; seyri sırasında simetrik forma dönüşebilir ya da asimetrik olarak devam edebilir. Bu yazıda asimetrik eklem tutulumu olan ve ACR kriterlerine göre romatoid artrit tanısı konan üç olguyu sunarak romatoid artritin asimetrik eklem tutulumuna dikkat çekmeyi amaçladık.

Keywords

• Romatoid artrit, asimetrik eklem tutulumu

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