3,263 results match your criteria: "Mixed Connective Tissue Disease"

Objectives: Repeated gripping with high grip forces and high rates of grip force development are risk factors for carpal tunnel syndrome. As the nerve's adaptive ability is crucial to prevent disease progression, we investigated how these risk factors influence median nerve deformation and displacement over the time course of a repeated pinch grip task.

Methods: Seventeen healthy participants performed a repeated grip task against a load cell while their carpal tunnel was scanned with ultrasound.

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To investigate the effect of mycophenolate mofetil (MMF) and rituximab (RTX) on pulmonary function test (PFT) results in a mixed cohort of patients with connective tissue disease-associated interstitial lung disease (CTD-ILD), longitudinally followed up for 1 year in a single academic center. Patients with CTD-ILD were identified in electronic medical records from 1 January 2009 to 30 April 2019. Prescribed MMF and RTX doses, dosage changes, and therapy plans were analyzed individually with improvement in PFT outcomes determined using multivariable linear regression models during 12-month follow-up.

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Interstitial lung disease (ILD) is one of the common and potentially lethal manifestations of systemic autoimmune rheumatic diseases (SARDs). ILD's prevalence, clinical patterns, imaging, and natural history are variable. Each of the representative diseases-systemic sclerosis (SSc), idiopathic inflammatory myopathies (IIMs), rheumatoid arthritis (RA), Sjӧgren's syndrome (SjS), mixed connective tissue disease (MCTD), systemic lupus erythematosus (SLE)-have distinct clinical, paraclinical and evolutionary features.

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Mixed and undifferentiated autoimmune connective tissue diseases.

Clin Dermatol

December 2024

Department of Dermatology, Yale School of Medicine, New Haven, CT. Electronic address:

Dr. Irwin M. Braverman has advanced our understanding of cutaneous manifestations of autoimmune connective tissue diseases (AI-CTD).

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Mixed connective tissue disease (MCTD) predominantly affects women in their reproductive age (30-40 years). This study is aimed to analyze a case series of MCTD-complicated pregnancies. The study design utilized a combined case-series and case-control approach.

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Cryoglobulinemia is a rare disease characterized by the presence of cryoglobulins in the blood serum. It is usually caused by autoimmune, lymphoproliferative, or infectious factors. The pathogenesis of cryoglobulinemia is not well understood, therefore, genetic testing is very important.

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High prevalence and incidence of systemic sclerosis in Reunion Island, a French multi-ethnical and tropical territory.

Semin Arthritis Rheum

November 2024

Service de médecine interne et dermatologie, Hôpital Felix Guyon, CHU de la Réunion, 1 allée des Topazes 97400, Saint-Denis, France.

Objectives: Systemic sclerosis' (SSc) prevalence varies according to geographical location, presumably in link with environmental and genetic factors. We sought to determine SSc prevalence and incidence on Reunion Island, a southern hemisphere territory characterised by multi-ethnic background.

Methods: We conducted a retrospective review of SSc cases defined according to ACR/EULAR 2013 classification criteria.

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Article Synopsis
  • The study investigates the utility of autoimmune screening panels (ASPs) in diagnosing multiple sclerosis (MS), as the significance of ASP positivity in MS patients is not well established.
  • A retrospective analysis was conducted on 212 MS patients in Vienna, revealing a low rate of ASP seropositivity (11.4% for antinuclear antibodies).
  • The findings suggest that ASPs are unnecessary for MS diagnosis in patients without clinical signs of systemic autoimmune disease, as their performance is comparable to the general population.
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May-Hegglin anomaly associated nephropathy: Case series.

SAGE Open Med Case Rep

November 2024

Division of Nephrology, Hypertension and Transplant Nephrology, University of California, Irvine, CA, USA.

May-Hegglin anomaly (MHA) is a rare autosomal dominant disease associated with a mutation in the MYH-9 gene. It is characterized by macrothrombocytopenia and neutrophils with abnormal cytoplasmic inclusions. Clinical features of this disease include hearing loss, early cataracts, and renal failure.

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High prevalence of esophageal motility disorders in patients with rheumatologic diseases.

Dis Esophagus

November 2024

Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, Center for Gastrointestinal Biology and Disease, Chapel Hill, NC, USA.

Article Synopsis
  • * A study of 289 adults showed that 58% had esophageal motility disorders, with various types identified, despite normal barium swallow results in half of these cases.
  • * Specific rheumatic conditions affected the likelihood of esophageal dysmotility, with lower rates in those with psoriatic arthritis and varying odds for rheumatoid arthritis and scleroderma.
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Objectives: This study aimed to evaluate cardiac function using Myocardial Performance Index (MPI) in autoimmune connective tissue disease (ACTD) patients without cardiovascular abnormalities.

Methods: A systematic search of databases including Medline, Google Scholar, ProQuest, Scopus and Cochrane Library was conducted to identify relevant studies on ACTD and MPI from 1995 to 2023. ACTD included in the search were rheumatoid arthritis (RA), systemic sclerosis (SSc), systemic lupus erythematosus (SLE), Sjögren syndrome (SjD), polymyositis and dermatomyositis.

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En Coup de Sabre and Terry's Nail: Rare Cutaneous Manifestations of Mixed Connective Tissue Disease.

Am J Med

November 2024

Department of Family Practice, Takashimadaira Clinic, Tokyo, Japan; Department of Family Practice, Azusawa Hospital, Tokyo, Japan. Electronic address:

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Mixed connective tissue disease (MCTD) is a rare autoimmune syndrome characterized by overlapping features of systemic sclerosis, systemic lupus erythematosus (SLE), and polymyositis, first described by Sharp et al. in 1972. This case report discusses a 38-year-old female who presented with symptoms indicative of these overlapping conditions, including sclerodactyly, Raynaud's phenomenon, and muscle weakness, confirmed by laboratory findings and imaging.

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New idea of Fuke Qianjin capsule in treating sequelae of pelvic inflammatory disease: Anti-inflammatory in the early stage and reparative in the later stage.

J Ethnopharmacol

February 2025

Key Laboratory for Quality Evaluation of Bulk Herbs of Hunan Province, School of Pharmacy, Hunan University of Chinese Medicine, Changsha, 410208, China. Electronic address:

Article Synopsis
  • The study investigates the effectiveness of the traditional Chinese medicine Fuke Qianjin capsule (FKQ) in treating sequelae of pelvic inflammatory disease (SPID), which affects female reproductive organs and surrounding tissue.
  • FKQ shows protective effects against pathogenic bacteria linked to SPID, reduces uterine damage, and minimizes inflammation by inhibiting pro-inflammatory cytokines and balancing immune cell types in a rat model.
  • The research concludes that FKQ operates through a combination of antibacterial, anti-inflammatory, reparative, and immune-enhancing actions to treat SPID effectively.
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Article Synopsis
  • Pirfenidone (PFD) is commonly used for treating idiopathic pulmonary fibrosis but has been less studied in connective tissue disease-associated interstitial lung diseases (CTD-ILDs), prompting this investigation of its real-world effectiveness.
  • The retrospective study included 289 CTD-ILD patients, with 155 receiving PFD; results indicated significant improvements in lung function metrics (FVC and DLCO) for those treated with PFD after six months compared to a control group.
  • Subgroup analyses suggested that PFD may be particularly beneficial for patients with systemic sclerosis-associated ILD and those with specific lung function patterns at baseline, highlighting its potential as an effective treatment option.
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Article Synopsis
  • Castleman disease (CD) is a rare illness characterized by lymphoproliferation, with forms that can affect single or multiple lymph nodes, and is often seen in patients with HIV and related to human herpes virus-8 (HHV-8).
  • A case study describes a 68-year-old woman with diabetes and mixed connective tissue disease (MCTD), who presented with symptoms like lymphadenopathy and was diagnosed with the plasma cell subtype of multicentric CD, highlighting the link between CD and systemic conditions.
  • Initial treatment resolved her symptoms, but she relapsed years later; this case emphasizes the need for personalized treatment approaches and suggests further studies on the relationship between CD and MCTD are warranted.
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Mixed connective tissue disease (MCTD) is an autoimmune disorder characterized by high levels of anti-U1 ribonucleoprotein (RNP) antibodies and overlapping clinical features of autoimmune diseases, such as systemic lupus erythematosus (SLE), systemic sclerosis (SSc), and polymyositis (PM). Anti-Ku antibodies have been associated with overlap syndromes, which can present with symptoms such as Raynaud's phenomenon, arthritis, and myositis.  A 19-year-old male athlete presented with myositis, notable for cardiac involvement.

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Article Synopsis
  • The American Gastroenterological Association (AGA) commissioned this expert review to provide guidance on diagnosing infectious and immune-mediated esophageal disorders, which are often under-recognized and lead to dysfunction and health costs.
  • The review offers Best Practice Advice (BPA) statements based on published literature and expert opinions, but lacks formal evidence ratings due to the absence of systematic reviews.
  • Increased awareness among gastroenterologists regarding these disorders can enhance patient care by improving diagnosis and limiting unnecessary medical procedures, particularly in patients presenting with dysphagia, heartburn, and odynophagia.
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Article Synopsis
  • The investigation analyzes data from the FDA's Adverse Event Reporting System (FAERS) to assess real-world adverse reactions related to Belimumab, aiming to enhance clinical safety in its use.
  • Over 19,825 adverse drug event reports pertaining to Belimumab were analyzed, revealing that the majority of affected patients were females aged 18 to 64.9 years, with systemic disorders and infections being the most reported issues.
  • The study highlights significant adverse reactions not listed on product labeling, such as hypersensitivity and herpes zoster infections, suggesting the need for improved communication on these risks in clinical settings.*
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Article Synopsis
  • A 22-year-old woman experienced a sudden loss of vision in her right eye, diagnosed as central retinal artery occlusion (CRAO) after initially being misdiagnosed with optic neuritis.
  • She had a prior episode affecting her left eye five years earlier, which resolved on its own, and had previously experienced untreated livedo reticularis on her legs.
  • The case highlights the importance of investigating underlying systemic diseases like mixed connective tissue disease (MCTD) in young patients with CRAO to prevent future complications.
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Article Synopsis
  • * There are no established management guidelines for MCTD, so treatment typically follows existing guidelines for its component diseases based on the organs involved.
  • * The paper will cover a unique case of MCTD, detailing the diagnostic process, the patient's immunological profile, and the proposed treatment strategy for managing this rare disease.
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Article Synopsis
  • Interstitial lung disease (ILD) is prevalent in rheumatoid arthritis (RA) and linked to higher mortality; this study assesses antifibrotics nintedanib and pirfenidone's real-world effectiveness and safety in RA-ILD patients.
  • A multicenter observational study included 40 RA-ILD patients, primarily treated with nintedanib; data on demographics, pulmonary function tests (PFTs), and adverse events (AEs) were collected and analyzed.
  • Results showed that antifibrotics halted the decline in forced vital capacity (FVC) and total lung capacity (TLC) after initiation, but diffusion capacity continued to decline, with 40% of patients experiencing adverse events.
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Article Synopsis
  • Connective tissue diseases (CTDs) are autoimmune diseases that can affect multiple organs and cause different skin issues, and this study looked at these skin problems in patients.
  • The research was done with 79 patients, mostly women, showing that systemic lupus erythematosus (SLE) was the most common type of CTD, and many experienced skin sensitivity to sunlight.
  • The study found that certain antibodies were linked to specific CTDs and that these diseases can moderately affect patients' quality of life.
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