Clinical Rheumatology

, Volume 6, Supplement 2, pp 112–120 | Cite as

Undifferentiated arthritis and spondylarthropathy as a challenge for prospective follow-up

  • H. Zeidler
  • D. Werdier
  • A. Klauder
  • S. Brinkmann
  • M. Viswat
  • M. L. Mones
  • J. L. Hülsemann
  • E. Keck
Methodology and Perspectives

Summary

Diagnosis of arthritis with recent onset is still an unresolved problem. In 1984 we started an outpatient clinic for patients with early arthritis of less than one year duration. Of a total of 226 patients seen 149 (66%) had definite (n=76; 34%) or probable (n=73; 32%) inflammatory rheumatic disease, and 77 (34%) had degenerative or extraarticular rheumatic disease. Thirtynine patients were classified as undifferentiated arthritis. This undefined arthritis was often monoarticular (12%) and oligoarticuler (44%). One patient met 5 ARA-criteria for rheumatoid arthritis, 14 (36%) met 3–4 ARA-criteria and 25 (64%) only 1–2 ARA-criteria. ESR was elevated in only 23 (59%) patients, rheumatoid factor was positive in 7 (19%) patients and HLA-B27 was positive in 9 (23%) patients. Seventeen (44%) patients had a history of recent infections preceding the beginning of joint symptoms. Thus undifferentiated arthritis represents a heterogeneous group of diseases. Despite diagnostic progresses in recent years a high proportion of early arthritis cannot be diagnosed definitely.

Key Words

Early Arthritis Undifferentiated Arthritis 

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Copyright information

© Acta Medica Belgica 1987

Authors and Affiliations

  • H. Zeidler
    • 1
  • D. Werdier
    • 3
  • A. Klauder
    • 1
  • S. Brinkmann
    • 3
  • M. Viswat
    • 1
  • M. L. Mones
    • 2
  • J. L. Hülsemann
    • 1
  • E. Keck
    • 1
  1. 1.Department of Endokrinology and Rheumatology, Internal Medicine CentreUniversity DüsseldorfDüsseldorf
  2. 2.Institut of Medical Mikrobiology and VirologyUniversity DüsseldorfDüsseldorf
  3. 3.Biometrical CentreTechnical UniversityAachenFRG

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