Prevalence, types, clinical associations, and determinants of peripheral neuropathy in rheumatoid patients

Background: Rheumatoid arthritis is a multi-system autoimmune disorder predominantly involving multiple small and large joints along with certain extra-articular manifestations. The presence of peripheral neuropathy in patients with rheumatoid arthritis contributes significantly to the functional li...

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Main Authors: Monodeep Biswas, Arghya Chatterjee, Sudip Kumar Ghosh, S Dasgupta, Kartik Ghosh, P K Ganguly
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=194;epage=197;aulast=Biswas
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author Monodeep Biswas
Arghya Chatterjee
Sudip Kumar Ghosh
S Dasgupta
Kartik Ghosh
P K Ganguly
author_facet Monodeep Biswas
Arghya Chatterjee
Sudip Kumar Ghosh
S Dasgupta
Kartik Ghosh
P K Ganguly
author_sort Monodeep Biswas
collection DOAJ
description Background: Rheumatoid arthritis is a multi-system autoimmune disorder predominantly involving multiple small and large joints along with certain extra-articular manifestations. The presence of peripheral neuropathy in patients with rheumatoid arthritis contributes significantly to the functional limitation in patients with rheumatoid arthritis. Objectives: To study the prevalence, types, and determinants of peripheral neuropathy in patients with rheumatoid arthritis. Materials and Methods: We studied 74 patients with rheumatoid arthritis of at least 2 year duration for the presence of peripheral neuropathy both clinically and electrophysiologically. The data obtained were entered into a database and continuous variables were analyzed using the Student t test and categorical variables were analyzed using the chi-square test. Results: Peripheral neuropathy was detected in 39.19% (29 out of 74 patients) patients on electrophysiologic testing and 82.76% (24 out of 29 patients) of the patients were asymptomatic. There was significant association between the presence of peripheral neuropathy and disease duration and rheumatoid factor positivity by the latex agglutination method. Sensory neuropathy was the most common form detected. Conclusions: Our study shows that subclinical peripheral neuropathy particularly sensory neuropathy which is not related to disease severity is very common in patients with prolonged disease duration.
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spelling doaj.art-967356b6a70c4b65b65d276b8a41b6872022-12-21T17:30:43ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492011-01-0114319419710.4103/0972-2327.85893Prevalence, types, clinical associations, and determinants of peripheral neuropathy in rheumatoid patientsMonodeep BiswasArghya ChatterjeeSudip Kumar GhoshS DasguptaKartik GhoshP K GangulyBackground: Rheumatoid arthritis is a multi-system autoimmune disorder predominantly involving multiple small and large joints along with certain extra-articular manifestations. The presence of peripheral neuropathy in patients with rheumatoid arthritis contributes significantly to the functional limitation in patients with rheumatoid arthritis. Objectives: To study the prevalence, types, and determinants of peripheral neuropathy in patients with rheumatoid arthritis. Materials and Methods: We studied 74 patients with rheumatoid arthritis of at least 2 year duration for the presence of peripheral neuropathy both clinically and electrophysiologically. The data obtained were entered into a database and continuous variables were analyzed using the Student t test and categorical variables were analyzed using the chi-square test. Results: Peripheral neuropathy was detected in 39.19% (29 out of 74 patients) patients on electrophysiologic testing and 82.76% (24 out of 29 patients) of the patients were asymptomatic. There was significant association between the presence of peripheral neuropathy and disease duration and rheumatoid factor positivity by the latex agglutination method. Sensory neuropathy was the most common form detected. Conclusions: Our study shows that subclinical peripheral neuropathy particularly sensory neuropathy which is not related to disease severity is very common in patients with prolonged disease duration.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=194;epage=197;aulast=BiswasMononeuritisneuropathyperipheralrheumatoidsensorysensorimotor
spellingShingle Monodeep Biswas
Arghya Chatterjee
Sudip Kumar Ghosh
S Dasgupta
Kartik Ghosh
P K Ganguly
Prevalence, types, clinical associations, and determinants of peripheral neuropathy in rheumatoid patients
Annals of Indian Academy of Neurology
Mononeuritis
neuropathy
peripheral
rheumatoid
sensory
sensorimotor
title Prevalence, types, clinical associations, and determinants of peripheral neuropathy in rheumatoid patients
title_full Prevalence, types, clinical associations, and determinants of peripheral neuropathy in rheumatoid patients
title_fullStr Prevalence, types, clinical associations, and determinants of peripheral neuropathy in rheumatoid patients
title_full_unstemmed Prevalence, types, clinical associations, and determinants of peripheral neuropathy in rheumatoid patients
title_short Prevalence, types, clinical associations, and determinants of peripheral neuropathy in rheumatoid patients
title_sort prevalence types clinical associations and determinants of peripheral neuropathy in rheumatoid patients
topic Mononeuritis
neuropathy
peripheral
rheumatoid
sensory
sensorimotor
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2011;volume=14;issue=3;spage=194;epage=197;aulast=Biswas
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