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Publisher: Medknow Publishers   (Total: 426 journals)

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Showing 1 - 200 of 426 Journals sorted alphabetically
Acta Medica Intl.     Open Access   (SJR: 0.101, CiteScore: 0)
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advanced Biomedical Research     Open Access  
Advances in Human Biology     Open Access   (Followers: 4)
Advances in Skeletal Muscle Function Assessment     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Medical and Health Sciences     Open Access   (Followers: 3)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.25, CiteScore: 1)
African J. of Trauma     Open Access   (Followers: 1)
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access   (Followers: 2)
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Alexandria J. of Pediatrics     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Annals of African Medicine     Open Access   (Followers: 2, SJR: 0.258, CiteScore: 1)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.308, CiteScore: 1)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.434, CiteScore: 1)
Annals of Indian Academy of Otorhinolaryngology Head and Neck Surgery     Open Access  
Annals of Indian Psychiatry     Open Access  
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 12, SJR: 0.352, CiteScore: 1)
Annals of Saudi Medicine     Open Access   (SJR: 0.238, CiteScore: 1)
Annals of Thoracic Medicine     Open Access   (Followers: 6, SJR: 0.524, CiteScore: 1)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13, SJR: 0.152, CiteScore: 0)
Annals of Tropical Pathology     Open Access  
Apollo Medicine     Open Access  
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access   (Followers: 1)
Archives of Cardiovascular Imaging     Open Access   (Followers: 2, SJR: 0.187, CiteScore: 0)
Archives of Intl. Surgery     Open Access   (Followers: 10, SJR: 0.302, CiteScore: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Medicine and Surgery     Open Access  
Archives of Pharmacy Practice     Open Access   (Followers: 10, SJR: 0.102, CiteScore: 0)
Archives of Trauma Research     Open Access   (Followers: 3, SJR: 0.37, CiteScore: 2)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 5)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.856, CiteScore: 2)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 2)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.35, CiteScore: 1)
Asian Pacific J. of Reproduction     Open Access   (SJR: 0.227, CiteScore: 1)
Asian Pacific J. of Tropical Biomedicine     Open Access   (Followers: 2, SJR: 0.491, CiteScore: 2)
Asian Pacific J. of Tropical Medicine     Open Access   (Followers: 1, SJR: 0.561, CiteScore: 2)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
Biomedical and Biotechnology Research J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Canadian J. of Rural Medicine     Full-text available via subscription   (SJR: 0.202, CiteScore: 0)
Cancer Translational Medicine     Open Access   (Followers: 2)
Cardiology Plus     Open Access   (Followers: 1)
Chinese Medical J.     Open Access   (Followers: 10, SJR: 0.52, CiteScore: 1)
CHRISMED J. of Health and Research     Open Access   (Followers: 2)
Clinical Cancer Investigation J.     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 4)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 8, SJR: 0.811, CiteScore: 2)
Contemporary Clinical Dentistry     Open Access   (Followers: 4, SJR: 0.353, CiteScore: 1)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.543, CiteScore: 1)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 4, SJR: 0.152, CiteScore: 0)
Dental Research J.     Open Access   (Followers: 13, SJR: 0.416, CiteScore: 1)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.242, CiteScore: 0)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1, SJR: 1.799, CiteScore: 2)
Egyptian J. of Chest Diseases and Tuberculosis     Open Access   (Followers: 3, SJR: 0.155, CiteScore: 0)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access   (Followers: 1)
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 1)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Nursing J.     Open Access  
Egyptian Orthopaedic J.     Open Access   (Followers: 2)
Egyptian Pharmaceutical J.     Open Access   (Followers: 3)
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access   (Followers: 2)
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.822, CiteScore: 2)
Environmental Disease     Open Access   (Followers: 3)
Eurasian J. of Pulmonology     Open Access  
European J. of Dentistry     Open Access   (Followers: 3, SJR: 0.749, CiteScore: 2)
European J. of General Dentistry     Open Access   (Followers: 1, SJR: 0.12, CiteScore: 0)
European J. of Prosthodontics     Open Access   (Followers: 4)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11, SJR: 0.113, CiteScore: 0)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.112, CiteScore: 0)
Genome Integrity     Open Access   (Followers: 2, SJR: 0.153, CiteScore: 0)
Glioma     Open Access  
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Gynecology and Minimally Invasive Therapy     Open Access   (SJR: 0.311, CiteScore: 1)
Hamdan Medical J.     Open Access  
Heart and Mind     Open Access  
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
Ibnosina J. of Medicine and Biomedical Sciences     Open Access  
IJS Short Reports     Open Access  
Imam J. of Applied Sciences     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.478, CiteScore: 1)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.361, CiteScore: 1)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.37, CiteScore: 1)
Indian J. of Dental Research     Open Access   (Followers: 5, SJR: 0.266, CiteScore: 1)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.468, CiteScore: 1)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 4, SJR: 0.445, CiteScore: 1)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1, SJR: 0.791, CiteScore: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4, SJR: 0.568, CiteScore: 1)
Indian J. of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.425, CiteScore: 1)
Indian J. of Medical Microbiology     Open Access   (Followers: 2, SJR: 0.503, CiteScore: 1)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.656, CiteScore: 1)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.102, CiteScore: 0)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.347, CiteScore: 1)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.23, CiteScore: 0)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.225, CiteScore: 1)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.498, CiteScore: 1)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.392, CiteScore: 1)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.199, CiteScore: 0)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 2)
Indian J. of Palliative Care     Open Access   (Followers: 6, SJR: 0.454, CiteScore: 1)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 3, SJR: 0.276, CiteScore: 1)
Indian J. of Pharmacology     Open Access   (SJR: 0.412, CiteScore: 1)
Indian J. of Plastic Surgery     Open Access   (Followers: 13, SJR: 0.311, CiteScore: 0)
Indian J. of Psychiatry     Open Access   (Followers: 2, SJR: 0.408, CiteScore: 1)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.368, CiteScore: 1)
Indian J. of Public Health     Open Access   (Followers: 1)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Respiratory Care     Open Access  
Indian J. of Rheumatology     Open Access   (Followers: 1, SJR: 0.119, CiteScore: 0)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.34, CiteScore: 0)
Indian J. of Social Psychiatry     Open Access   (Followers: 1)
Indian J. of Transplantation     Open Access  
Indian J. of Urology     Open Access   (Followers: 4, SJR: 0.434, CiteScore: 1)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Indian Spine J.     Open Access  
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intervention     Open Access   (Followers: 1)
Intl. Archives of Health Sciences     Open Access  
Intl. J. of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Clinicopathological Correlation     Open Access   (Followers: 1)
Intl. J. of Community Dentistry     Open Access  
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1, SJR: 0.192, CiteScore: 0)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 5, SJR: 0.142, CiteScore: 0)
Intl. J. of Growth Factors and Stem Cells in Dentistry     Open Access  
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.535, CiteScore: 1)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4, SJR: 0.17, CiteScore: 0)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 3)
Intl. J. of Orofacial Biology     Open Access   (Followers: 1)
Intl. J. of Orofacial Research     Open Access   (Followers: 2)
Intl. J. of Orthodontic Rehabilitation     Open Access   (Followers: 1)
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 2)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.623, CiteScore: 1)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.653, CiteScore: 1)
Intl. J. of the Cardiovascular Academy     Open Access   (SJR: 0.105, CiteScore: 0)
Intl. J. of Trichology     Open Access   (SJR: 0.4, CiteScore: 1)
Intl. J. of Yoga     Open Access   (Followers: 14)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  

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Egyptian Rheumatology and Rehabilitation
Number of Followers: 2  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1110-161X - ISSN (Online) 2090-3235
Published by Medknow Publishers Homepage  [426 journals]
  • Shockwave therapy versus local steroid injection in chronic supraspinatus
           tendinopathy

    • Authors: Mona Zamzam, Ahmed El Yasaki, Nermin ElGarabawy, Lamiaa Emad E El Ghandour
      Pages: 141 - 147
      Abstract: Mona Zamzam, Ahmed El Yasaki, Nermin ElGarabawy, Lamiaa Emad E El Ghandour
      Egyptian Rheumatology and Rehabilitation 2019 46(3):141-147
      Objective To evaluate the efficacy of shockwave therapy versus ultrasound-guided steroid injection in the treatment of chronic supraspinatus tendinopathy.Patients and methods This study was carried out on 30 patients with calcific and noncalcific supraspinatus tendinopathy for more than 3 months. A clinical assessment was performed for all patients including pain scoring by the visual analog scale and full shoulder examination at the start of the study and 6 weeks later. Shoulder ultrasound was performed at the start of the study. Fifteen patients received four sessions of radial shockwave therapy (Intelect Radial Shockwave, UK) 3 bar pressure, 2000 pulses, 20 Hz. Fifteen patients received a single ultrasound-guided subacromial steroid injection (1 ml triamcinolone 40 mg and 1 ml lidocaine).Results Both groups showed a statistically significant improvement in pain relief (visual analog scale) and clinical examination: tenderness, shoulder range of motion, and muscle power. There was no statistically significant difference between both groups.Conclusion Radial shockwave therapy has no additional benefit over ultrasound-guided steroid injection in the short term in patients with chronic supraspinatus tendinopathy.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):141-147
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_16_18
      Issue No: Vol. 46, No. 3 (2019)
       
  • Diastolic dysfunction in patients with rheumatoid arthritis

    • Authors: Rasha M. Ghaleb, Mervat I. Abd Elazeem, Osama A Amin
      Pages: 148 - 153
      Abstract: Rasha M. Ghaleb, Mervat I. Abd Elazeem, Osama A Amin
      Egyptian Rheumatology and Rehabilitation 2019 46(3):148-153
      Objective The aim of this study was to evaluate left ventricular diastolic function parameters as an early predictor of cardiac involvement in patients with rheumatoid arthritis (RA) without any evidence of hypertension, diabetes mellitus, rheumatic fever or underlying cardiac disease, detected by Doppler echocardiography and to correlate diastolic function in RA patients with different RA disease characteristics.Patients and methods Seventy-five RA patients were diagnosed according to the 2010 American College of Rheumatology/European League Against Rheumatism classification criteria for RA and another 38 age-matched and sex-matched healthy participants were included. All patients and the control groups were submitted to M-mode, two-dimensional, Doppler (continuous and pulsed wave) echocardiography. Diastolic dysfunction was defined as when transmitral flow E/A ratio is less than one.Results Left ventricular diastolic dysfunction was found in 28 (37.3%) of 75 RA patients and four (10.5%) of 38 controls with a P value of less than 0.05. In the patients’ group, a statistically significant correlation was found between diastolic dysfunction and duration of the disease (P<0.05), and disease activity was assessed by 28 Joint Disease Activity Score (P<0.05).Conclusion Among those without a history of cardiac disease, patients with RA have a higher prevalence of diastolic dysfunction than those without RA. Diastolic dysfunction in RA was associated with disease duration and disease activity. Thus, early identification of diastolic dysfunction in asymptomatic RA patients by the use of echocardiography may provide an opportunity to manage the underlying etiology to prevent progression to diastolic heart failure.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):148-153
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_6_19
      Issue No: Vol. 46, No. 3 (2019)
       
  • Assessment of tendon involvement in chronic hemodialysis patients: an
           ultrasonographic study

    • Authors: Samia M Abdelomnem, Sami E Egila, Rasha M Fawzy, Mohamed A Mohamed, Nora A Abdelkader
      Pages: 154 - 161
      Abstract: Samia M Abdelomnem, Sami E Egila, Rasha M Fawzy, Mohamed A Mohamed, Nora A Abdelkader
      Egyptian Rheumatology and Rehabilitation 2019 46(3):154-161
      Aim of the work The aim of this study was to detect changes occurring in some tendons, for example, Achilles, quadriceps, and supraspinatus tendons, using musculoskeletal ultrasound (MSUS) imaging in patients with chronic kidney disease (CKD) on regular hemodialysis and to evaluate associations of these changes with patients’ clinical status, parathyroid hormone (PTH) level as well as other laboratory parameters.Patients and methods This study was carried out on 35 patients and a group of 25 age-matched and sex-matched apparently healthy participants as a control group. All patients underwent history taking; clinical examination; and shoulder, knee, and ankle plain radiography. Laboratory investigations including PTH level were done. MSUS was performed on the selected tendons for all patients and controls.Results The ankle was the most clinically affected joint. US abnormalities most commonly affected the Achilles tendon (15.2%) having calcific deposits, abnormal peritendon tissue, increased thickness, and abnormal structure, followed by the quadriceps tendon (2.9%), whereas the supraspinatus tendon was the least affected (2.3%). There were highly statistically significant differences between patients with CKD and controls regarding mean tendon thickness, with the quadriceps tendon and supraspinatus tendons being thicker in the study group (P<0.001). Significant positive correlations of PTH level with age, the duration of dialysis, and PO4 level were observed.Conclusion There were significant tendon involvements among patients with CKD with the Achilles tendon mostly involved having calcific deposits, abnormal peritendon tissue, increased thickness, and abnormal structure. Tendon abnormalities occurred mainly in older patients with longer durations of dialysis, hypercalcemia (Ca), hyperphosphatemia (PO4), and a higher Ca×PO4 product. MSUS is a simple, noninvasive, and a substantial tool in the diagnosis and follow-up of tendon involvement among patients with CKD.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):154-161
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_60_18
      Issue No: Vol. 46, No. 3 (2019)
       
  • Articular and skeletal affection in regularly dialyzed patients with
           end-stage renal disease

    • Authors: Hisham E Abd El Wahab, Tarek M Abd Elaziz, Mohammad M Alsayyad, Mahmoud S Berengy
      Pages: 162 - 169
      Abstract: Hisham E Abd El Wahab, Tarek M Abd Elaziz, Mohammad M Alsayyad, Mahmoud S Berengy
      Egyptian Rheumatology and Rehabilitation 2019 46(3):162-169
      Background Patients on regular hemodialysis (HD) are vulnerable to develop different articular and skeletal problems that interfere with life quality and affect morbidity and mortality in these patients. To, properly, overcome or even prevent the development of these complications, early detection, especially of the commonly affected parts, is required.Aim The aim was to detect articular and skeletal manifestations in patients with end-stage renal disease on regular HD, their relation to duration of dialysis, and which is more affected.Patients and methods A total of 50 patients (34 males and 16 females) with end-stage renal disease on regular HD, who were attendants of the dialysis unit of Internal Medicine Department at Al-Azhar University hospital, New Damietta, with duration of dialysis ranging between 3 and 15 years and age ranging from 26 to 70 years old were recruited for the study. They were classified into three groups: group I: mild, group II: moderate, and group III: severe joint affection. Full history taking, thorough clinical examination, especially for uremic and rheumatologic manifestations; laboratory investigations (inflammatory and metabolic markers); synovial fluid analysis and culture; and radiological investigations (radiography, dual-energy X-ray absorptiometry scan, ultrasound, computed tomography, and MRI of the affected parts) were done.Results There was a significant association between the duration of dialysis and the presence of joint affection. The most common affected joints were knee joints [n=23 patients (46%)] and shoulder joints [n=10 (20%)]. There was a statistically significant association between the severity of joints involvement and the prolonged duration of dialysis. The most common crystals present were the urate crystals (26%) followed by calcium pyrophosphate dihydrate (12%), and lastly oxalate crystals (8%). Carpal tunnel syndrome was diagnosed in 12 patients, with high significant association between the duration of dialysis and presence of carpal tunnel syndrome. There was increase in the level of parathyroid hormone with increase in the duration of renal dialysis. Moreover, 64% of patients had hyperparathyroid bone disease. The mean alkaline phosphatase level was increased in all groups of patients but was more in patients with severe joint affection. Serum albumin was maintained within normal level in HD patients. Radiological study of our HD patients showed that the most frequent radiological findings were signs of secondary hyperparathyroidism (subperiosteal resorption; acroosteolysis in the terminal tufts; pathological fracture, with two fractures in the spine, one in the neck of femur, and one fracture in the rib; and periarticular calcification, with one was found in the hand, and two were found in the pelvis). The incidence of these radiological findings increased with the increase of duration of HD. In addition, 18 patients had normal bone mineral density values, 18 patients had osteopenia, whereas 14 patients had osteoporosis.Conclusion The increased duration of dialysis is associated with increased incidence of articular and skeletal complications mainly renal osteodystrophy in the form of crystal-induced arthritis, osteoporosis, and periarticular calcification. Knee and shoulder joints, spine, neck of femur, wrist joints, and ribs are the main targets for complications and then for proper prophylaxis.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):162-169
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_57_18
      Issue No: Vol. 46, No. 3 (2019)
       
  • Asymptomatic left ventricular diastolic dysfunction in diffuse systemic
           sclerosis patients: conventional echocardiography and left atrial speckle
           tracking

    • Authors: Ahmed Aboughanima, Abdelaziz Gomaa, Gehan El Olemy
      Pages: 170 - 176
      Abstract: Ahmed Aboughanima, Abdelaziz Gomaa, Gehan El Olemy
      Egyptian Rheumatology and Rehabilitation 2019 46(3):170-176
      Objective Our objective was to assess asymptomatic left ventricular diastolic dysfunction (LVDD) in diffuse systemic sclerosis (SSc) patients using both conventional and two-dimensional speckle tracking echocardiography in correlation to disease variables.Patients and methods Twenty-two patients with diffuse SSc without symptoms of LVDD and 22 controls were included in a comparative cross-sectional study. Skin fibrosis was assessed by modified Rodnan skin thickness score and disease severity by Medsger’s score. Parameters related to diastolic functions of the left ventricle were obtained by conventional echocardiography. Assessment of left atrium (LA) functions was by two-dimensional speckle tracking echocardiography as a predictor of LVDD.Results There were significant differences between patients and controls regarding E-wave deceleration time (194.8±27.3 vs. 157.1±20.3; P<0.001), E/E’ (8.85±1.98 vs. 6.99±0.69; P=0.008), positive peak LAε (11.4±2.9 vs. 18.8±2.28; P<0.001), and sec. positive peak LAε (17.5±3.9 vs. 25.5±2.7; P<0.001). All LA strain parameters were significantly correlated with disease duration, disease severity, N-terminal pro b-type natriuretic peptide, E/E’, and E-wave deceleration time, while positive peak LAε was correlated with the modified Rodnan skin thickness score. Receiver operating characteristic curve analysis identified a positive peak value of less than or equal to 10.8 and sec. positive peak of less than or equal to 17.5 as predictors for the detection of E/E’ more than or equal to 8.Conclusion LA reservoir and conduit functions were significantly affected in SSc patients than controls and were associated with longer disease duration and more severe disease, while only reservoir function was associated with more fibrotic skin changes. All LA strain parameters correlated significantly with E/E’ ratio, while positive peak LA and sec. positive peak LA were demonstrated as LVDD predictors in patients with diffuse SSc.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):170-176
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_15_19
      Issue No: Vol. 46, No. 3 (2019)
       
  • Role of interleukin-35 in rheumatoid arthritis pathogenesis and its
           relation to disease activity and joint damage

    • Authors: Nahed El-sayed El-sayed Akl, Soheir Mohammed Abd El-Halim, Maaly Mohamed Mabrouk, Doaa Shawky Ashkar, Shymaa Ahmed Hablas
      Pages: 177 - 182
      Abstract: Nahed El-sayed El-sayed Akl, Soheir Mohammed Abd El-Halim, Maaly Mohamed Mabrouk, Doaa Shawky Ashkar, Shymaa Ahmed Hablas
      Egyptian Rheumatology and Rehabilitation 2019 46(3):177-182
      Aim This study aimed to discuss the role of interleukin-35 (IL-35) in the pathogenesis of rheumatoid arthritis (RA) and its relation to disease activity and radiological severity.Patients and methods Thirty patients diagnosed with RA were selected from the outpatient clinic and inpatient unit of Physical Medicine, Rheumatology and Rehabilitation Department, Tanta University Hospitals fulfilling the American College of Rheumatology/European League Against Rheumatism 2010 criteria for the diagnosis of RA, and 20 apparently healthy individuals who were matched in age and sex participated as controls. Patients with other autoimmune diseases, malignancy, or any current infections were excluded. Disease activity score in 28 joints was assessed for all patients. Rheumatoid factor, anticyclic citrullinated peptide, complete blood count, erythrocyte sedimentation rate and C-reactive protein and serum level of IL-35 measured by enzyme-linked immunosorbent assay were evaluated. The degree of joint destruction was assessed by Larsen score.Results Of the RA patients, 73.3%showed low serum levels of IL-35 with significant difference compared with controls, and its levels showed negative association with disease activity. IL-35 serum levels were significantly correlated with hemoglobin level, erythrocyte sedimentation rate, C-reactive protein, and rheumatoid factor and not correlated with anticyclic citrullinated peptide antibodies. Also IL-35 serum levels significantly correlated with radiological disease severity were assessed by Larsen score.Conclusion IL-35 had an immunoregulatory role in RA pathogenesis as its serum level is significantly low in RA patients and correlated with different parameters of disease activity and radiological severity.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):177-182
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_37_18
      Issue No: Vol. 46, No. 3 (2019)
       
  • Spinal decompression therapy as an alternative modality for management of
           low back pain and radicular pain caused by lumbar disc herniation or
           protrusion

    • Authors: Ahmed R El-Zayat, Wael Gomah, Ahmed H Aldesouky
      Pages: 183 - 188
      Abstract: Ahmed R El-Zayat, Wael Gomah, Ahmed H Aldesouky
      Egyptian Rheumatology and Rehabilitation 2019 46(3):183-188
      Background Recent studies have suggested that motorized nonsurgical spinal decompression AQ5 can reduce chronic low back pain (LBP) due to lumbar disc herniation or protrusion.Aim The purpose of this study was to evaluate the efficacy of motorized nonsurgical spinal decompression by the DRX9000 device in the reduction of LBP and radicular pain caused by lumbar disc herniation or protrusion and whether it correlated with MRI changes in disc height or not.Patients and methods This study was carried out on 73 patients with chronic LBP attributed to disc protrusion selected from outpatients of rheumatology and rehabilitation clinics at Abdul Latif Jameel Hospital for Medical Rehabilitation, Jeddah, Saudi Arabia; these patients were divided into two groups. The first group comprised 39 patients who underwent a 6-week treatment protocol of motorized nonsurgical spinal decompression via the DRX9000, and the other group comprising 34 patients underwent a 6-week physiotherapy with deep heat modalities and ordinary traction; pain assessment using a visual analog scale with MRI was carried out before and after treatment. Paired t-test or linear regression was used, as appropriate, with P less than 0.05 considered to be statistically significant.Results The main outcomes were a significant improvement in LBP in both groups using visual analog scale, but radicular pain and disc height using MRI were significantly improved in group 1 compared with group 2.Conclusions The study concluded that nonsurgical spinal decompression was associated with a reduction in back pain and radicular pain and with an increase in disc height and can be used as an alternative modality for discogenic LBP.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):183-188
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_34_18
      Issue No: Vol. 46, No. 3 (2019)
       
  • The effects of lateral wedge insoles on primary knee osteoarthritis
           patients

    • Authors: Amal M.S. Eldin Abbas Hamed, Mona L Zamzam, Mona A El-Sebaie, Sahar F Ahmed
      Pages: 189 - 194
      Abstract: Amal M.S. Eldin Abbas Hamed, Mona L Zamzam, Mona A El-Sebaie, Sahar F Ahmed
      Egyptian Rheumatology and Rehabilitation 2019 46(3):189-194
      Background Osteoarthritis is the most common degenerative joint disease. Knee osteoarthritis (KOA) is the most common disability due to pain and dysfunction; it typically affects the medial tibiofemoral joint compartment.Objectives The use of orthosis as lateral wedge insoles (LWIs) helps in the reduction of symptoms and improvement of function and can reduce many of the biomechanical risk factors for disease development in osteoarthritis patients.Aim The study aimed to determine the possible mechanical and clinical effects of the different LWIs to assess their role in the management of the medial compartment KOA.Method The study included 48 knees divided into three groups, group A received only conventional physiotherapy, group B received LWI and group C received subtalar strapped (STS) LWI for 4 months.Results The Western Ontario and McMaster Universities osteoarthritis index score showed high significance, P value less than 0.001, for most subscales, femorotibial angle and plantar pressure peaks at the five metatarsal areas (M1, M2, M3, M4, M5), midfoot, medial heel and lateral heel areas, and center of pressure showed high significance, P value less than 0.001 for both insoles.Conclusion The positive outcomes suggested that LWI and STSLWI insert are viable alternatives in the conservative management of patients with medial KOA. The use of LWI and STSLWI helps to prevent the progression of medial KOA if used. In early grades of medial KOA as grades 2 and 3. The results not only suggested clinically symptomatic improvement with an inexpensive conservative therapy, but also a less complicated comfortable orthosis of alignment benefit to KOA.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):189-194
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_46_18
      Issue No: Vol. 46, No. 3 (2019)
       
  • Proximal neuropathies in patients with poststroke shoulder pain

    • Authors: Tarek S Shafshak, Mowaffak M Abdelhamid, Marwa A Amer
      Pages: 195 - 201
      Abstract: Tarek S Shafshak, Mowaffak M Abdelhamid, Marwa A Amer
      Egyptian Rheumatology and Rehabilitation 2019 46(3):195-201
      Background Poststroke shoulder pain (PSSP) could be due to proximal neuropathy or upper trunk brachial plexus lesion.Aim The aim was to detect any electrophysiological abnormality in the proximal nerves supplying shoulder structures that could contribute to PSSP.Settings and design Cross-sectional study at institution: a university hospital, tertiary level of clinical care.Materials and methods Nerve conduction studies of the axillary, musculocutaneous, suprascapular, and lateral antebrachial nerves were done on both sides. In addition, electromyography of the deltoid, biceps brachii and infraspinatus on the hemiplegic side was performed on 30 stroke survivors with PSSP.Statistical analysis used Statistical Package for the Social Sciences (SPSS ver.20). Description and analysis of the obtained data were done using appropriate tests.Results Axillary and musculocutaneous motor nerve latencies on the hemiplegic side were significantly prolonged compared with the normal side (P=0.012, 0.029, respectively). Moreover, axillary and suprascapular nerve amplitudes on the hemiplegic side were significantly lower than those on the normal side (P=0.008, 0.002, respectively). Twelve (40%) patients had electrophysiological abnormalities. Upper trunk brachial plexopathy was the most common abnormality which occurred in six (20%) patients. In addition, isolated axillary or suprascapular nerve lesion occurred at a similar frequency (10%).Conclusion Proximal nerve lesions are not uncommon in PSSP patients.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):195-201
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_58_18
      Issue No: Vol. 46, No. 3 (2019)
       
  • Comparison of platelet-rich plasma and laser therapy in treatment of
           chronic lateral epicondylitis

    • Authors: Amr E Okasha, Amany S El-Bahnasawy, Ola M Gharbia, Sherief E Farrag
      Pages: 202 - 207
      Abstract: Amr E Okasha, Amany S El-Bahnasawy, Ola M Gharbia, Sherief E Farrag
      Egyptian Rheumatology and Rehabilitation 2019 46(3):202-207
      Background Lateral epicondylitis (LE) is the most frequent cause of chronic lateral elbow pain in adults that represents an encumbrance on social and professional life of patients. Many treatment modalities that have been used in the management of LE have recently come into question. Platelet-rich plasma (PRP) and low-level laser therapy (LLLT) have been tried for management of chronic tendinopathies but with some debate about their effectiveness.Objectives This study compared the effectiveness of local injection of PRP and LLLT in pain reduction and functional improvement in chronic LE.Patients and methods This randomized double-blinded, prospective study included 104 eligible patients with chronic LE. Fifty-two patients were treated with local PRP injection and 52 were treated by intermittent LLLT. They were evaluated at 3 and 6 months for subjective pain using visual analog scale (VAS), functional outcome, and grip strength.Results Pain was assessed using the subjective VAS which was improved in both PRP and LLLT groups, DASH score and grip strength revealed improvement in both groups. This improvement was of highly statistical significance in both groups when compared with baseline evaluation (P<0.001). On comparing the PRP group with the LLLT group, there was significant improvement in VAS at 6 months only, whereas there were significant improvements in functional outcome and grip strength evaluation at 3- and 6-month follow-up for PRP group.Conclusion Treating patients with LE with PRP injection improves pain and function more effectively compared with LLLT.
      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):202-207
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_1_19
      Issue No: Vol. 46, No. 3 (2019)
       
  • Magnetic resonance diagnosis of adhesive capsulitis of the shoulder

    • Authors: Reddy Ravikanth, Kanagasabai Kamalasekar
      Pages: 208 - 209
      Abstract: Reddy Ravikanth, Kanagasabai Kamalasekar
      Egyptian Rheumatology and Rehabilitation 2019 46(3):208-209

      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):208-209
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_49_18
      Issue No: Vol. 46, No. 3 (2019)
       
  • Association between microalbuminuria and metabolic syndrome in patients
           with rheumatoid arthritis

    • Authors: Mahmood D Al-Mendalawi
      Pages: 210 - 210
      Abstract: Mahmood D Al-Mendalawi
      Egyptian Rheumatology and Rehabilitation 2019 46(3):210-210

      Citation: Egyptian Rheumatology and Rehabilitation 2019 46(3):210-210
      PubDate: Mon,15 Jul 2019
      DOI: 10.4103/err.err_42_18
      Issue No: Vol. 46, No. 3 (2019)
       
 
 
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