Source: Romanian Journal of Rheumatology. The aim of the study is to evaluate the presence of EHM as well as that of comcomitant rheumatic autoimmune diseases among chronic hepatitis C virus HCV infected patients and to compare the related immunological patterns.
We conducted a descriptive, cross-sectional analysis of all patients with HCV infection and a rheumatic disease, admitted between January -- June We assessed the patients regarding the extrahepatic manifestations of the viral infection as well as the autoimmune disease associated.
Type 2 diabetes mellitus was found in -- 12 As for the rheumatic autoimmune diseases, RA was the most frequent encountered in 36 The prevalence of extrahepatic complaints is high among the chronic HCV-infected patients.
While generally well tolerated, both local and systemic complications may appear. Case report We report the case of a 50 year-old female patient known with bladder tumor operated in January followed by 4 weeks of intravesical BCG immunotherapy, one administration per week. After each course the patient accused low grade fever, nausea, pollakiuria and hematuria with limited duration. In Marchafter a cystoscopy and a bladder resection, she underwent another 5 weeks of BCG instillations. After the fourth course the patient presented to our clinic for fever with chills, pollakiuria, hematuria, conjunctivitis, myalgia and disabling migratory arthritis of the left ankle and right knee.
The differential diagnosis between VHC manifestations and VHC related autoimmune diseases is important and a multidisciplinary approach in treating these conditions is needed. English Copyright of Romanian Journal of Rheumatology is the property of Amaltea Medical Publishing House and arthralgia myalgia differential diagnosis content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission.
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Differential diagnosis of reactive arthritis in a patient with intravesical BCG immunotherapy
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