Author : AbdElal, Ibrahim Tharwat
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 2, Pages 2659-2671
Background: The most prevalent form of inflammatory arthritis is rheumatoid arthritis (RA) and it usually involves elbows, feet, wrists, knees, and ankles. The foot is the first region of the body to display RA signs and symptoms for certain patients. This research aimed to assess the prevalence of foot disorders in RA patients, identifying the relationship between the activity of the RA disease and foot disorders, as well as their effect and deformities occurrence.
Patients and methods: A total of 300 RA patients were included in this report. There were 240 women and 60 men, aged between 18 and 74. The following were done to all patients: complete historical review, complete clinical examination, and the evaluation of disease occurrence Complete blood count (CBC), Erythrocyte sedimentation rate (ESR), c-reactive protein (CRP), rheumatoid factor (RF) titer, and anti-cyclic citrullinated peptide (anti-CCP Ab) titer were used and X Ray on foot done to all patients
Results: We found that 31.6% of the study patients had foot deformities. 214 patients (71.3%) had normal gait while 86 patients (28.7.0%) had pathological gait. Hallux valgus was common among old age and obese RA patients. The foot deformities are associated with moderate and high DAS28 activity. Obese RA patients are more susceptible to have foot problems 2.89 times more than normal-weight RA patients. 176 patients (58.6%) had narrowing, 97 patients (32.33%) had osteoporosis 87 patients (29.0%) had erosion, 20 patients (6.67%) had bone cyst, 17 patients (5.6%) had subluxation and 14 patients (4.6%) had amalgamation.