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ORIGINAL ARTICLE
Year : 2008  |  Volume : 3  |  Issue : 4  |  Page : 144-147

Profile of rheumatoid arthritis patients attending a private tertiary hospital rheumatology clinic


1 P D Hinduja National Hospital, Mumbai, India
2 Wockhardt Hospitals, Mumbai, India

Correspondence Address:
V R Joshi
P D Hinduja National Hospital, Mumbai
India
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Source of Support: None, Conflict of Interest: None


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Objective: To study the profile of patients with rheumatoid arthritis (RA) attending a private hospital. Methods: Prospectively collected data (at the first visit to clinic) of first 400 patients with RA attending our rheumatology clinic, from January 2002 to December 2005 was analyzed for age at onset, sex, education, occupation, marital status, smoking, alcohol ingestion, diet, prior treatment with DMARDs and steroids, alternative therapy, co-morbidities such as hypertension, diabetes mellitus, family history of RA, past history of tuberculosis (TB) and jaundice. In females, additionally age at menarche, relationship of pregnancy to onset of RA and age at menopause were noted. Results: 400 patient data was analyzed. Female patients accounted for 88.5%; median age at onset of RA was 36 years. Only 3% had not received formal education. 4% gave history of smoking. Mean age at menarche was 13.4 years, 3% had developed RA within 1 year, post-delivery; 39% were menopausal when first seen with mean age at menopause of 45.7 years. 72% had received alternative therapy and 38% gave history of steroid intake. Family history of RA was present in 10%. About 47% had been treated with DMARDs before referral. At least one co-morbidity was present in 44%: hypertension (23%) and diabetes (9%) being the most common. Past history of TB and hepatitis was present in 11.5% and 13% patients respectively. Conclusion: Our RA patient population consisted predominantly of females with disease onset between 3rd and 5th decades; were married, educated, and non-smokers. Majority had received alternative therapy and steroids. Hypertension, diabetes, and TB were important co-morbidities. Family history was positive in 10% and 39% were menopausal at presentation.


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