11 results match your criteria: "Usl Tuscany Center[Affiliation]"

Background: Hip osteoarthritis (HOA) is a disease with globally rising incidence that leads to disability and morbidity, overall, in older populations, and might be primary or secondary to numerous risk factors. The most common idiopathic HOA is generally a diagnosis of exclusion, with pathogenetic mechanisms largely still misunderstood. We aimed to investigate the correlation between femoral-acetabular and spinopelvic anatomical and computed tomography (CT) characteristics, and the presence of primary OA.

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  • * Accurate diagnosis of SI joint issues usually requires advanced imaging techniques like MRI or CT, as conventional radiography may not provide enough detail due to the joint's complex anatomy.
  • * The text also highlights how different conditions can mimic each other on imaging, discusses the importance of lesion distribution for diagnosis, and outlines treatment strategies for inflammatory back pain.
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  • The study investigates post-COVID-19 (PC) and post-COVID-19 vaccination (PCV) syndromes, specifically focusing on small fiber neuropathy (SFN) and its potential link to undifferentiated arthritis (UA).
  • Nineteen patients with possible SFN underwent several diagnostic tests, including skin biopsies and joint ultrasounds, to evaluate symptoms like severe lower limb paresthesia and to compare SFN positive (SFN+) versus negative (SFN-) patients.
  • Results showed that SFN+ patients had lower nerve fiber density and more abnormalities in imaging tests. Over 12 months, SFN+ patients reported decreased neurological symptoms and improved joint assessments, although nerve density did not significantly change.
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  • Rheumatoid arthritis (RA) is a chronic autoimmune disease that mainly affects the small joints in hands and feet, leading to pain and joint damage.
  • MRI is a crucial tool for detecting and monitoring inflammation and damage in these joints, assisting in evaluating treatment responses alongside clinical assessments.
  • Various MRI scoring systems, like RAMRIS and its updated versions, have been developed to objectively measure inflammation and damage in RA, with RAMRIS-5 focusing specifically on five hand joints for better evaluation.
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Symptoms of fibromyalgia (FM) fluctuate and vary in severity. The current study aimed to evaluate the efficacy of palmitoylethanolamide (PEA) and acetyl-L-carnitine (ALC) in FM patients over a 24-month period and to investigate the mediating function of pain catastrophizing subdomains in unfavorable relationships with disease severity levels in patients with FM. Patients were evaluated at baseline, after 12 months, and after 24 months, using different patient-reported measures (FIQR, FASmod, PSD, and PCS) to distinguish different levels of FM disease severity.

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: Lung ultrasound (LUS) is a tool of growing interest in Rheumatoid Arthritis (RA) oligo- symptomatic ILD to avoid. : We aimed to evaluate (i) the prevalence of pleural (PLUS) and parenchymal (PAUS) abnormalities in LUS in the RA population and their possible correlation to biomarkers; (ii) the predictivity of gender, smoking habits, previous infections (past COVID-19 tuberculosis), and treatments; (iii) the differences in LUS between sexes. : We collected the data of 155 (15 early and 140 late) RA patients with mild respiratory symptoms, evaluating PLUS and PAUS, in fourteen lung areas and also summing the scores (LUS-T).

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(1) : Rheumatoid arthritis (RA) is a chronic inflammatory joint disease, primarily characterized by pain. A significant proportion of patients report symptoms suggestive of neuropathic pain. The objectives of this study were to investigate the presence of an increased cross-sectional area (CSA) of the palmar digital nerves by ultrasound in patients with active synovitis of the metacarpophalangeal joints and to identify potential predictors of such an increase.

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Diagnostic delay (DD) is associated with poor radiological and quality of life outcomes in axial spondyloarthritis (ax-SpA) and ankylosing spondylitis (AS). The female (F) population is often misdiagnosed, as classification criteria were previously studied mostly in males (M). We conducted a systematic review to investigate (i) the difference in DD between the sexes, the impact of HLA*B27 and clinical and social factors (work and education) on this gap, and (ii) the possible influence of the year of publication (before and after the 2009 ASAS classification criteria), geographical region (Europe and Israel vs.

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The potential role of the COVID-19 vaccine and infection to induce autoimmunity is currently underestimated despite the literature emphasizing arthralgia as a common adverse event. We aimed to study the impact of rheumatological complications post-COVID-19 (PC) and post-COVID-19 vaccine (PCV), comparing undifferentiated arthritis (UA) to Polymyalgia Rheumatica, Horton's Arteritis (PMR-HA) and isolated arthritis to UA with "connective-like" accompanying symptoms. We retrospectively included 109 patients with at least 6 months of follow-up, analyzing serum biomarkers, joint ultrasound (US), lung HRCT, DLCO, and HLA haplotypes.

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Diabetes mellitus may arise abruptly and decompensate suddenly, leading to a hyperglycaemic hyperosmolar state. Coma often ensues, although this usually reverses after the metabolic abnormalities have resolved. Acute symptomatic seizures can also occur in patients who are conscious, although these usually resolve after osmolarity and glycaemia have normalised.

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Aims: Systematic pre-participation screening of subjects practicing sports activity has the potential to identify athletes at risk of sudden cardiac death. However, limited evidence are present concerning the yield of echocardiography as a second-line exam in athletes with abnormal pre-participation screening.

Methods: Consecutive athletes were screened (2011-2017) in a community-based sports medicine center in Tuscany, with familial history, physical examination and ECG.

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