Revue du rhumatisme (English ed.)
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Practice Guideline Guideline
Use of morphine in nonmalignant joint pain: the Limoges recommendations. The French Society for Rheumatology.
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Review Case Reports
Multiple rheumatoid bursitis with migrating chylous cysts. Report of a case in a European woman and review of the literature.
We report a case of recurrent multiple bursitis (19 episodes at nine sites) requiring seven surgical procedures in a European women with a 38-year history of severe, nodular, destructive seropositive rheumatoid arthritis unresponsive to second-line drugs. The episodes of bursitis were not correlated with activity of the joint disease. Some cysts migrated over a considerable distance. ⋯ The histologic study of one cyst demonstrated a cholesterol crystal granuloma. Potential relationships linking cholesterol crystals, chylous cysts, and migrating multiple bursitis are discussed. The relevant literature is reviewed.
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To identify criteria for predicting the outcome at discharge in patients scheduled for inhospital treatment of disk-related sciatica. ⋯ Eighty percent of patients benefited from their hospital stay. Patient opinions on the merits of nonsurgical and surgical treatments in their own case were not correlated with their own outcomes. A tight straight leg-raising test angle was correlated with a poorer outcome. Neither sciatica duration nor rest duration prior to admission had an influence on outcome. Absence of complete bed rest prior to admission was correlated with a greater likelihood of a therapeutic benefit from the hospital stay.