Hand deforming arthropathy (Jaccoud’s syndrome) in systemic lupus erythematosus

Abstract

Objective. To characterize Jaccoud’s syndrome - hand deforming arthropathy (HDA) in systemic lupus erythematosus (SLE). Material and vethods. Analysis of 235 case histories of pts with SLE followed up in the Institute of Rheumatology of RAMS from 1982 to 2002 was performed. 26 from them had HDA according to D. Alarcon-Segovia criteria (1988). SLE activity was determined according to V.A Nassonova and SLEDAI-I scale. Results. 26 from 235 SLE pts (11 %) had H DA. More than in 25% from them this damage formed during the first year of the disease and included nonerosive joint damage with the development of finger deformities such as "swan neck", "boutonniere", Z-deformity of thumb, muscle atrophia and ulnar deviation. Longer treatment with glucocorticoids put off HDA development (r=0,64, p=0,0003)

Keywords

• "jaccoud's arthropathy index"
• systemic lupus erythematosus
• hand deforming arthropathy
• "jaccoud's arthropathy index"