Oedema of the Extremities in Rheumatoid Patients

概要

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Rheumatoid patients have sometimes localized edema of extremities. To clarify whether general or local cause refers to the edema of this type, we examined clinically our rheumatoid patients with edema who had no edematous diseases due to other general disorders. In our clinic, 25 of 410 patients with rheumatoid arthritis had edema of their extremities. These patients consisted of 22 women and 3 men, and 20 with seropositive RA and 5 seronegative.The edema was found frequently in the patient with high rheumatoid activity, and localized distally from the involved joints. Lymphangiography revealed abnormal pooling of contrast medium and lymphatic obstruction.We conclude that the peripheral edema of the extremities in rheumatoid patients results from lymphangitis due to local inflammatory effect of the joints.
西日本整形・災害外科学会の論文