β Scribed by Willy N. Pachas; Robeet S. Pinals
No coin nor oath required. For personal study only.
A noted in the prodromal stage of viral hepatitis1 and during the course of chronic or "lupoid" hepatitk2 The occurrence of a similar rheumatic syndrome during the recovery phase of Laennec's cirrhosis is the subject of this report.
During a 3-year period 30 patients with cirrhosis were seen in consultation because of musculoskeletal complaints. In Table 1 the diagnoses in these patients are listed. Although there were no cases of deforming rheumatoid arthritis, 13 patients presented with a mild inflammatory polyarthritis which is described below. During this period of 3 years 387 patients (38 per cent women) were admitted to the hospital with a diagnosis of cirrhosis. Since we did not question or examine the majority of the patients, the true incidence of arthritis is unknown.
A latex fixation test, by the tube dilution method: and indirect fluorescent antibody test for antinuclear factor, using mouse liver as substrate,' was performed on the patients with arthritis and on a control group of 104 consecutive patients admitted to the hospital with cirrhosis. In addition, sensitized sheep cell agglutination tests were performed on the arthritis patients (by Dr. Edgar Cathcart ) ,
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